Individual provider Active NPI

Suzana Kalanica

  • Family Nurse Practitioner
  • Farmington, CT
National Provider Identifier
1245800820
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9738 Issued in CT
Practice address
21 South Road
Farmington, CT 06030-6231
Phone
(860) 679-4600
Fax
(860) 679-4759
NPI assigned
Jun 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9738 CT Primary

Addresses

Primary practice location

21 South Road
Farmington, CT 06030-6231

Mailing address

21 South Road
Farmington, CT 06030-6231
Phone (860) 679-4600

Other practice location 1

254 Pilgrim Ln
Southington, CT 06489-1327
Phone (860) 518-2547

Other practice location 2

263 Farmington Avenue
Farmington, CT 06030-6231
Phone (860) 679-4600

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
I20221003002903 CT Practitioner - Nurse Practitioner 4284010943 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Skinhealth LLPGroup PAC ID 9638309362, 40 clinicians
University of Connecticut Health CenterGroup PAC ID 3678472016, 624 clinicians

Practice addresses (Care Compare)

1952 Whitney Ave
Suite 2
Hamden, CT 06517-1209
Phone (203) 288-1142

21 S Rd
Farmington, CT 06032-2482
Phone (860) 679-4600

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
9738CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
University of Connecticut Health Center CurrentSince Sep 15, 2022 Accepting new patients
Connecticut Skinhealth LLP CurrentSince Dec 8, 2024 Accepting new patients
University of Connecticut Health Center CurrentSince Sep 15, 2022 Accepting new patients
University of Connecticut Health Center Past Accepting new patients

Locations

21 South Rd
Farmington, CT 06032
Phone (860) 679-4600

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

1952 Whitney Ave
Ste 2
Hamden, CT 06517
Phone (203) 288-1142

4 Corporate Dr
Ste 386
Shelton, CT 06484
Phone (203) 538-5682

Interoperability endpoints

  • Direct secure messaging: skalanica@ctsh.emadirect.md
  • Direct secure messaging: skalanica61693@direct.med.uchc.edu

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": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1245800820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SOUTH ROAD",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060306231",
            "telephone_number": "860-679-4600",
            "fax_number": "860-679-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SOUTH ROAD",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060306231",
            "telephone_number": "860-679-4600",
            "fax_number": "860-679-4759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "254 Pilgrim Ln",
            "address_purpose": "LOCATION",
            "city": "Southington",
            "state": "CT",
            "postal_code": "064891327",
            "country_code": "US",
            "telephone_number": "860-518-2547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "263 Farmington Avenue",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060306231",
            "country_code": "US",
            "telephone_number": "860-679-4600",
            "fax_number": "860-679-4759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALANICA",
        "first_name": "SUZANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "9738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.