Individual provider Active NPI

Amelia Yvonne Garrison, DNP, FNP-C

  • Family Nurse Practitioner
  • Norwich, CT
National Provider Identifier
1295416105
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12231 Issued in CT
Practice address
330 Washington St Ste 510
Norwich, CT 06360-2745
Phone
(860) 885-1308
NPI assigned
Jul 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN10039918 MA
Family Nurse Practitioner 363LF0000X 4704448493 MI
Family Nurse Practitioner 363LF0000X 4058244 KY
Family Nurse Practitioner 363LF0000X 1240006 TX
Family Nurse Practitioner 363LF0000X APRN.CNP.0042191 OH
Family Nurse Practitioner 363LF0000X 277005790 IL
Family Nurse Practitioner 363LF0000X ARNP.AP.70102936-NP WA
Family Nurse Practitioner 363LF0000X 12231 CT Primary

Addresses

Primary practice location

330 Washington St Ste 510
Norwich, CT 06360-2745

Mailing address

330 Washington St Ste 510
Norwich, CT 06360-2733
Phone (860) 885-1308

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MI, OH, KY4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20230905002336 CT Practitioner - Nurse Practitioner 9638532930 Reassigns benefits to 1 organization
I20260506002939 MI Practitioner - Nurse Practitioner 9638532930 Reassigns benefits to 1 organization
I20260602002915 OH Practitioner - Nurse Practitioner 9638532930 Reassigns benefits to 1 organization
I20260610000175 KY Practitioner - Nurse Practitioner 9638532930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2 Westledge Dr
Apt C109
Norwich, CT 06360-6646

2 Westledge Dr Apt
C109
Norwich, CT 06360-6646

200 Oceangate
Suite 100
Long Beach, CA 90802-4316

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12231CTMDFamily Nurse Practitioner
4058244KYMDFamily Nurse Practitioner
4704448493MIMDFamily Nurse Practitioner
APRN.CNP.0042191OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Care Connections, LLC. CurrentSince Jan 26, 2026 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

175 Scott Swamp Rd
Farmington, CT 06032
Phone (860) 249-6752

8300 NW 33rd St
Ste 400
Doral, FL 33122
Phone (904) 229-7396

2001 Butterfield Rd
Ste 750
Downers Grove, IL 60515
Phone (630) 537-0888

5100 Commerce Crossings Dr
Louisville, KY 40229
Phone (502) 305-6267

1075 Main St
Fl 4
Waltham, MA 02451

880 W Long Lake Rd
Troy, MI 48098
Phone (248) 227-6316

8329 W Sunset Rd
Ste 100
Las Vegas, NV 89113

3000 Corporate Exchange Dr
Columbus, OH 43231
Phone (614) 942-3042

1660 Westridge Cir N
Irving, TX 75038
Phone (214) 467-9787

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1295416105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 WASHINGTON ST STE 510",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602733",
            "telephone_number": "860-885-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 WASHINGTON ST STE 510",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602745",
            "telephone_number": "860-885-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "AMELIA",
        "middle_name": "YVONNE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN10039918",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704448493",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4058244",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1240006",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0042191",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277005790",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "ARNP.AP.70102936-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

Verify at the official NPI Registry.