Individual provider Active NPI

Brooke Gouveia, APRN

  • Family Nurse Practitioner
  • Farmington, CT
National Provider Identifier
1285182402
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6667 Issued in CT
Practice address
263 Farmington Ave
Farmington, CT 06030-4038
Phone
(860) 679-6662
Fax
(860) 679-1432
NPI assigned
Sep 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 6667 CT
Family Nurse Practitioner 363LF0000X 6667 CT Primary
Nurse Practitioner 363L00000X 6667 CT

Addresses

Primary practice location

263 Farmington Ave
Farmington, CT 06030-4038

Mailing address

263 Farmington Ave
Farmington, CT 06030-4038
Phone (860) 679-6662

Other practice location 1

2408 Whitney Ave
Hamden, CT 06518-3209
Phone (203) 407-3545

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bgouveia47025@direct.med.uchc.edu

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
I20170516002269 CT Practitioner - Nurse Practitioner 3971870270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Connecticut Health CenterGroup PAC ID 3678472016, 624 clinicians
McLean FundGroup PAC ID 0648247403, 105 clinicians

Practice addresses (Care Compare)

263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3692

75 Great Pond Rd
Simsbury, CT 06070-1980

Hospital & facility affiliations

  • John Dempsey Hospital of the University of Connect Hospital, Farmington, CT, CCN 070036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6667CTMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
University of Connecticut Health Center Adult Health CurrentSince Jun 1, 2021 Accepting new patients
Midstate Medical Center CurrentSince Jul 15, 2017 Accepting new patients
Midstate Medical Center CurrentSince Jul 15, 2017 Accepting new patients
Midstate Medical Center Current Accepting new patients
University of Connecticut Health Center CurrentSince Jun 1, 2021 Accepting new patients
University of Connecticut Health Center Past Accepting new patients

Locations

5 Munson Rd
Farmington, CT 06032
Phone (860) 679-4888

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

1115 West St
Southington, CT 06489
Phone (860) 276-6000

Interoperability endpoints

  • Direct secure messaging: bgouveia47025@direct.med.uchc.edu

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1285182402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060304038",
            "telephone_number": "860-679-6662",
            "fax_number": "860-679-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060304038",
            "telephone_number": "860-679-6662",
            "fax_number": "860-679-1432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2408 Whitney Ave",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "065183209",
            "country_code": "US",
            "telephone_number": "203-407-3545",
            "fax_number": "203-466-8591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOUVEIA",
        "first_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-16",
        "last_updated": "2022-11-18",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "6667",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "6667",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "6667",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bgouveia47025@direct.med.uchc.edu",
            "affiliation": "N",
            "address_1": "Uconn Medical Group",
            "address_2": "263 Farmington Avenue",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060300001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.