Nancy P. Deptulski, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

7077 Issued in NC

Practice address

15 Brookside LNDG
Attn Nancy Deptulski
Putnam, CT 06260-2340

Phone

(860) 634-4449

NPI assigned

Jun 14, 2006

Last updated

Nov 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Norwich Anesthesia Associates, PC

  • Anesthesiology Physician
  • Norwich, CT
  • NPI 1114965035
  NPD (past)
• Saint Vincent Physician Services, Inc.

  • Family Medicine Physician
  • Worcester, MA
  • NPI 1013997329

  Anesthesiology

  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1255374104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3084 12TH AVE SE UNIT 107",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286029829",
            "telephone_number": "860-634-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BROOKSIDE LNDG",
            "address_2": "ATTN NANCY DEPTULSKI",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062602340",
            "telephone_number": "860-634-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPTULSKI",
        "first_name": "NANCY",
        "middle_name": "P.",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "7077",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "119908",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN1486",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John A Day, MD
• James Christopher Dean, MD
• Bryan J Dearnley
• Monica Zurowski Deary, R.D.H.
• Kerri Deorsey, LPN
• Anna Desmarais, RPH
• Kyla Desroberts
• Paul B Dinwoodie, PT
• Marissa J Dixon
• DKH Diabetes Self Managment Education

• Certified Registered Nurse Anesthetist in Putnam, CT
• Providers in Putnam, CT by specialty
• Certified Registered Nurse Anesthetist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.