Individual provider Active NPI

Marie-Claude Chouinard

  • Student in an Organized Health Care Education/Training Program
  • Farmington, CT
National Provider Identifier
1235550559
Registry record updated Jan 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
263 Farmington Ave RM L7063
Farmington, CT 06030-1725
Phone
(860) 679-2664
NPI assigned
Jan 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

263 Farmington Ave RM L7063
Farmington, CT 06030-1725

Mailing address

263 Farmington Ave RM L7063
Farmington, CT 06030-1725

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160412001671 CT Order and Referring Only - DentistPractitioner - Dentist 3678871407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1388880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388880000000",
    "number": "1235550559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE RM L7063",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060301725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE RM L7063",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060301725",
            "telephone_number": "860-679-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUINARD",
        "first_name": "MARIE-CLAUDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-05",
        "last_updated": "2014-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.