Individual provider Active NPI

Laura Scibelli

  • Family Nurse Practitioner
  • Enfield, CT
National Provider Identifier
1285164293
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
007220 Issued in CT
Practice address
9 Cranbrook Blvd
Enfield, CT 06082
Phone
(860) 253-5330
Fax
(860) 253-5331
NPI assigned
Jun 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Registered Nurse 163WX0800X 11039859 CT
Student in an Organized Health Care Education/Training Program 390200000X
Family Nurse Practitioner 363LF0000X 007220 CT Primary

Addresses

Primary practice location

9 Cranbrook Blvd
Enfield, CT 06082

Mailing address

9 Cranbrook Blvd
Enfield, CT 06082-3889
Phone (860) 253-5330

Other practice location 1

37 Coolidge Rd
Chicopee, MA 01013-3234
Phone (413) 219-0253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171002000087 CT Practitioner - Nurse Practitioner 0143595140 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007220CTMDClinical Social Worker
11039859CTMDOrthopedic Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Physicians, PLLC CurrentSince Sep 1, 2017 Accepting new patients
Starling Physicians PLLC CurrentSince Sep 1, 2017 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

9 Cranbrook Blvd
Enfield, CT 06082
Phone (860) 253-5330

160 Hazard Ave
Enfield, CT 06082
Phone (860) 253-5330

289 Western Blvd
Glastonbury, CT 06033
Phone (203) 237-4477

2110 Silas Deane Hwy
Rocky Hill, CT 06067

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1285164293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CRANBROOK BLVD",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823889",
            "telephone_number": "860-253-5330",
            "fax_number": "860-253-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CRANBROOK BLVD",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "06082",
            "telephone_number": "860-253-5330",
            "fax_number": "860-253-5331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 Coolidge Rd",
            "address_purpose": "LOCATION",
            "city": "Chicopee",
            "state": "MA",
            "postal_code": "010133234",
            "country_code": "US",
            "telephone_number": "413-219-0253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCIBELLI",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Orthopedic",
            "state": "CT",
            "license": "11039859",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "007220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

Verify at the official NPI Registry.