Individual provider Active NPI

Danielle Khorsandi, APRN

  • Family Nurse Practitioner
  • Milford, CT
National Provider Identifier
1295010767
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0048358 Issued in CT
Practice address
321 Boston Post Rd
Milford, CT 06460-2574
Phone
(203) 882-2066
Fax
(203) 882-2074
NPI assigned
Oct 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0048358 CT Primary

Addresses

Primary practice location

321 Boston Post Rd
Milford, CT 06460-2574

Mailing address

321 Boston Post Rd
Milford, CT 06460-2574
Phone (203) 882-2066

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
I20240430001601 CT Practitioner - Nurse Practitioner 4082054671 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4835CTMDMedical Physician Assistant
0048358CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Feb 10, 2025 Accepting new patients
Cornell Scott Hill Health Corporation CurrentSince May 1, 2024 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Feb 10, 2025 Accepting new patients
Milford Pediatric Group, PC Past Accepting new patients

Locations

199 Cherry St
Milford, CT 06460
Phone (203) 874-2543

428 Columbus Ave
New Haven, CT 06519
Phone (203) 503-3228

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

Organizations & group practices 4

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": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1295010767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 BOSTON POST RD",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064602574",
            "telephone_number": "203-882-2066",
            "fax_number": "203-882-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 BOSTON POST RD",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064602574",
            "telephone_number": "203-882-2066",
            "fax_number": "203-882-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHORSANDI",
        "first_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "0048358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.