NSL Center for Primary Care LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

5748 Issued in CT

Legal business name

NSL CENTER FOR PRIMARY CARE LLC

Practice address

83 Wooster HTS Ste 125
Danbury, CT 06810-7550

Phone

(203) 957-3938

NPI assigned

May 10, 2017

Last updated

Nov 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brandon Pervis Sr., APRNNPI 1821405127

Title

Nurse Practitioner

Phone

(203) 628-2394

Specialties & licenses 4

Addresses

Other names 1

• NSL Centre for Primary Care Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandon Pervis Sr., APRN, FNP-C

  • Family Nurse Practitioner
  • Danbury, CT
  • NPI 1821405127
  Authorized official Same address or phone

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1275069353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 DIXWELL AVE STE 278",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113403",
            "telephone_number": "203-957-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 WOOSTER HTS STE 125",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068107550",
            "telephone_number": "203-957-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSL CENTER FOR PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-10",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "PERVIS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "203-628-2394",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CT",
            "license": "5748",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CT",
            "license": "5748",
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CT",
            "license": "5748",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NSL Centre for Primary Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "NSL Centre for Primary Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• William A Notaro, MD
• Jessica M Nourse-Stuart, BCBA-D
• Karen Novak, R.D.
• Michele Novella, APRN
• Kristina M. Nowitzki, M.D.
• Lisandra Nunez Cuello, MD
• Nurture and Bloom Therapy LLC
• Nussbaumer Health, LLC
• Karen Nussbaumer, DDG, BS, RDMS, RVT
• Nuvance Health Medical Practice CT, Inc.

• Multi-Specialty Clinic/Center in Danbury, CT
• Providers in Danbury, CT by specialty
• Multi-Specialty Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.