Individual provider Active NPI

Holly H. Hillburn, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1265734842
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5015 Issued in CT
Practice address
920 Broad St
Hartford, CT 06106-2402
Phone
(860) 244-7960
NPI assigned
Dec 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5015 CT Primary

Addresses

Primary practice location

920 Broad St
Hartford, CT 06106-2402

Mailing address

33 Rosedale Rd
West Hartford, CT 06107-2929
Phone (203) 376-5098

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
I20130103000016 CT Practitioner - Nurse Practitioner 6709039597 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Charlotte Hungerford Hospital CurrentSince May 5, 2013 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince May 5, 2013 Accepting new patients
Central Psychiatry PLLC Psychiatric/Mental Health Current Accepting new patients

Locations

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Organizations & group practices 3

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": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1265734842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 ROSEDALE RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072929",
            "telephone_number": "203-376-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 BROAD ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062402",
            "telephone_number": "860-244-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLBURN",
        "first_name": "HOLLY",
        "middle_name": "H.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-02",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "5015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.