Individual provider Active NPI

Heather Kovac, WHNP-BC

  • Women's Health Nurse Practitioner
  • Bridgeport, CT
National Provider Identifier
1235544206
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
5690 Issued in CT
Practice address
89 Hart St
Bridgeport, CT 06606-5048
Phone
(203) 579-2229
Fax
(203) 579-0404
NPI assigned
Jun 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 5690 CT Primary

Addresses

Primary practice location

89 Hart St
Bridgeport, CT 06606-5048

Mailing address

89 Hart St
Bridgeport, CT 06606-5048
Phone (203) 579-2229

Other practice location 1

263 Farmington Ave
Farmington, CT 06030-5048
Phone (860) 679-2329

Other practice location 2

1115 West St
Southington, CT 06489-6025
Phone (860) 679-2329

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hkovac35583@direct.med.uchc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140904001663 CT Practitioner - Nurse Practitioner 3870711831 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Connecticut Health CenterGroup PAC ID 3678472016, 624 clinicians

Practice addresses (Care Compare)

263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3692

Hospital & facility affiliations

  • John Dempsey Hospital of the University of Connect Hospital, Farmington, CT, CCN 070036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5690CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Southern New England, Inc. CurrentSince Dec 9, 2019 Accepting new patients
University of Connecticut Health Center CurrentSince Mar 1, 2020 Accepting new patients
University of Connecticut Health Center CurrentSince Mar 1, 2020 Accepting new patients
University of Connecticut Health Center Past Accepting new patients

Locations

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

345 Whitney Ave
New Haven, CT 06511
Phone (203) 503-0450

836 Hopmeadow St
Simsbury, CT 06070
Phone (860) 651-3519

1115 West St
Southington, CT 06489
Phone (860) 276-6000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1235544206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 HART ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066065048",
            "telephone_number": "203-579-2229",
            "fax_number": "203-579-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 HART ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066065048",
            "telephone_number": "203-579-2229",
            "fax_number": "203-579-0404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 Farmington Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060305048",
            "country_code": "US",
            "telephone_number": "860-679-2329",
            "fax_number": "860-679-1494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1115 West St",
            "address_purpose": "LOCATION",
            "city": "Southington",
            "state": "CT",
            "postal_code": "064896025",
            "country_code": "US",
            "telephone_number": "860-679-2329",
            "fax_number": "860-679-1494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOVAC",
        "first_name": "HEATHER",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-27",
        "last_updated": "2022-09-12",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CT",
            "license": "5690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hkovac35583@direct.med.uchc.edu",
            "affiliation": "N",
            "address_1": "Uconn Medical Group",
            "address_2": "263 Farmington Avenue",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060300001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.