Jason McDermott, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

12519 Issued in CT

Practice address

39 Fairview St FL 3
West Hartford, CT 06119-1809

Phone

(860) 309-2141

NPI assigned

Oct 16, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1306628425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 FAIRVIEW ST FL 3",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191809",
            "telephone_number": "860-309-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 FAIRVIEW ST FL 3",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191809",
            "telephone_number": "860-309-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "JASON",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "12519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Ryan McClure, DDS MS
• Yashiema McClure
• Ian Thomas McColl, PHARM. D
• Mary McCormick, PHARM.D.
• Colleen McDermott
• Kena Aiden McDermott, DC
• Kayla McDonald
• Tangel McFadden, LCSW
• Mary McGowan
• Colleen Sharon McGuane, PSY.D.

• Adult Health Nurse Practitioner in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Adult Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.