Active NPI
Betty D Webber, COTA/L
- Community Health Worker
- Tolland, CT
National Provider Identifier
1316210339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 000278
- Practice address
- 79 Webber Rd
Tolland, CT 06084-2013 - Phone
- (860) 896-0740
- NPI assigned
- Feb 22, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 000278 | CT | Primary |
Addresses
Primary practice location
79 Webber Rd
Tolland, CT 06084-2013
Mailing address
79 Webber Road
Tolland, CT 06084-2013
Phone (860) 896-0740
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000278 | CT | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329868800000",
"number": "1316210339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 WEBBER ROAD",
"city": "TOLLAND",
"state": "CT",
"postal_code": "060842013",
"telephone_number": "860-896-0740",
"fax_number": "860-896-0740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 WEBBER RD",
"city": "TOLLAND",
"state": "CT",
"postal_code": "060842013",
"telephone_number": "860-896-0740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBBER",
"first_name": "BETTY",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-22",
"last_updated": "2012-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CT",
"license": "000278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tolland, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.