Jennifer Briggs, APRN
Individual provider Active NPI Gerontology Nurse Practitioner · Somers, CT
NPI 1255878773 · NPPES record last updated Oct 17, 2019
Key facts
- NPI
- 1255878773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- 6873 (CT)
- Practice address
- 146 Main Street
Somers, CT 06071-1825 - Phone
- (860) 749-8018
- Fax
- (860) 316-4015
- NPI assigned
- Jan 22, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181205000135 | CT | Practitioner - Nurse Practitioner | 8022169226 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6873 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Evergreen Corporation | Current | Accepting new patients | |
| Medical Care Center of East Hartford LLC | Family | Current |
Accepting new patients |
| Stafford Medical Group LLC | Current |
Accepting new patients |
Locations
677 Silver Ln
East Hartford, CT 06118
Phone (860) 568-7243
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6873 | CT | |
| Gerontology Nurse Practitioner | 363LG0600X | 6873 | CT | Yes |
Addresses
Primary practice location
146 Main Street
Somers, CT 06071-1825
Mailing address
146 Main St
Somers, CT 06071-1825
Phone (860) 749-8018
Other practice location 1
677 Silver Ln
East Hartford, CT 06118-1257
Phone (860) 568-7243
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | CureMD | Health Information Exchange (HIE) |
Other providers in Somers, CT
- Alliance Medical Care Centers
- Amato Counseling, LLC.
- Amie Amato
- Germain Armand Bianchi
- Brian K. Brennan, PLLC
- John Steven Caswell
- Karen Christensen
- Michael John Clements
- Community Birth Group
- Leah Irene Cressotti
All providers in Somers, CT · Gerontology Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2019. 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.