Lorraine T Kulesa, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

000051 Issued in CT

Practice address

320 Western Blvd
Suite 102
Glastonbury, CT 06033

Phone

(860) 633-9235

Fax

(860) 657-2781

NPI assigned

Feb 2, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lorraine Testa Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1235277252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GRASS BONNET LANE",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "06109",
            "telephone_number": "860-529-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WESTERN BLVD",
            "address_2": "SUITE 102",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "06033",
            "telephone_number": "860-633-9235",
            "fax_number": "860-657-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULESA",
        "first_name": "LORRAINE",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "000051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00417456200",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ANTHEM",
            "identifier": "400APRNSICT01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORRAINE",
            "last_name": "TESTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clara Gwen Kowalsky, NP
• Darci Deanna Koziel, PHARM. D.
• Kristina Flemming Aprn PLLC
• Herman C Kruse, ATC, LAT
• Hillary Stover Krystiniak, BCBA
• Rebecca Kulhay, LPCA
• Abhishek Kumar, M.D
• Gubbanna V Kumar, MD
• Maria A Kurylak, D.C.
• Kusher Functional Medicine Center PC

• Pediatric Nurse Practitioner in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Pediatric Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.