Individual provider Active NPI

Christina Menendez, FNP-BC

  • Family Nurse Practitioner
  • Farmington, CT
National Provider Identifier
1255109393
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12283 Issued in CT
Practice address
11 South Rd Ste 250
Farmington, CT 06032-2484
Phone
(860) 674-0222
NPI assigned
Dec 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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 12283 CT Primary

Addresses

Primary practice location

11 South Rd Ste 250
Farmington, CT 06032-2484

Mailing address

4 Lenora Dr
West Simsbury, CT 06092-2108
Phone (850) 382-5240

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
I20240327001697 CT Practitioner - Nurse Practitioner 6305283250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11 S Rd
Suite 250
Farmington, CT 06032-2484
Phone (860) 674-0222

67 Sand Pit Rd
Danbury, CT 06810-4032
Phone (203) 792-7277

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12283CTMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Pain & Spine Specialists of Connecticut, LLC CurrentSince Feb 14, 2024 Accepting new patients
Pain & Spine Specialists of Connecticut, LLC CurrentSince Feb 14, 2024 Accepting new patients

Locations

67 Sand Pit Rd
Danbury, CT 06810
Phone (203) 792-2003

11 South Rd
Ste 250
Farmington, CT 06032
Phone (860) 674-0222

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1255109393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LENORA DR",
            "city": "WEST SIMSBURY",
            "state": "CT",
            "postal_code": "060922108",
            "telephone_number": "850-382-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SOUTH RD STE 250",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322484",
            "telephone_number": "860-674-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENENDEZ",
        "first_name": "CHRISTINA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.