Nicole Marie Charbonneau

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2201 Issued in CT

Practice address

304 Main St
Farmington, CT 06032-2985

Phone

(860) 674-1824

NPI assigned

Jul 10, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1657411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657411200000",
    "number": "1265166920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 BROOKLINE AVE",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010892209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 MAIN ST",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322985",
            "telephone_number": "860-674-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARBONNEAU",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-10",
        "last_updated": "2022-07-10",
        "certification_date": "2022-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CT",
            "license": "2201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ncharbonneau@thetalcottcenter.com",
            "affiliation": "N",
            "address_1": "304 Main St",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060322985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heera Chang, M.D., DDS
• Mary W Chang, MD
• Yueming Chang, M.D/PH.D
• Katherine Chapman
• Christina Charara
• Scott Chasse, DPT
• Elias Mikael Chatah, DMD
• Beth Chatfield
• Samir Chaudhry, MD
• Sona Chaudhry

• Occupational Therapy Assistant in Farmington, CT
• Providers in Farmington, CT by specialty
• Occupational Therapy Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2022; 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.