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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250611002555 | CT | Order and Referring Only - Family Practice |
4385154095 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Interoperability endpoints
- ahunter99509@middlesexhealthprd.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
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- Tori Adamczyk
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- Adebola Adeleke
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- Taylor Adiletta
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All providers in Middletown, CT · Student in an Organized Health Care Education/Training Program in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.