Hunter Ricardo Adams

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Middletown, CT

NPI 1235979121 · NPPES record last updated Apr 6, 2025

Key facts

NPI
1235979121
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
90 S Main St
Middletown, CT 06457-3649
Phone
(860) 358-6418
Fax
(860) 358-6650
NPI assigned
May 29, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250611002555 CT Order and Referring Only - Family Practice
Practitioner - Family Practice
4385154095

National Provider Directory

Medicare enrollment (NPD)
Yes

Interoperability endpoints

  • Direct secure messaging: ahunter99509@middlesexhealthprd.direct-ci.com

Specialties & licenses

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

Addresses

Primary practice location

90 S Main St
Middletown, CT 06457-3649

Mailing address

90 S Main St
Middletown, CT 06457-3649
Phone (860) 358-6418

Other practice location 1

13 High St
Portland, CT 06480-1616
Phone (860) 358-6418

Other practice location 2

42 High St Ste 205
Middletown, CT 06457-3740
Phone (860) 358-6418

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 6, 2025.

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743897600000",
    "number": "1235979121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573649",
            "telephone_number": "860-358-6418",
            "fax_number": "860-358-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573649",
            "telephone_number": "860-358-6418",
            "fax_number": "860-358-6650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 High St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "CT",
            "postal_code": "064801616",
            "country_code": "US",
            "telephone_number": "860-358-6418",
            "fax_number": "860-358-6650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42 High St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "CT",
            "postal_code": "064573740",
            "country_code": "US",
            "telephone_number": "860-358-6418",
            "fax_number": "860-358-6650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "HUNTER",
        "middle_name": "RICARDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-29",
        "last_updated": "2025-04-06",
        "certification_date": "2025-04-04",
        "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 Middletown, CT

All providers in Middletown, CT · Student in an Organized Health Care Education/Training Program in Connecticut

Sources for this page

Verify at the official NPI Registry.