Individual provider Active NPI

Rachel Heggland, APRN FNP-BC

  • Family Nurse Practitioner
  • Trumbull, CT
National Provider Identifier
1316322696
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6171 Issued in CT
Practice address
7 Cambridge Dr Ste 201
Trumbull, CT 06611-4763
Phone
(203) 335-0195
Fax
(203) 335-7293
NPI assigned
Jul 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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 6171 CT Primary

Addresses

Primary practice location

7 Cambridge Dr Ste 201
Trumbull, CT 06611-4763

Mailing address

7 Cambridge Dr Ste 201
Trumbull, CT 06611-4763
Phone (203) 335-0195

Other identifiers 1

IdentifierTypeStateIssuer
1316322696MedicaidCT

Other names 1

  • Rachel M Bryan Former name

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
I20150914000304 CT Practitioner - Nurse Practitioner 1658688361 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Nephrology Associates PCGroup PAC ID 4981590627, 10 clinicians

Practice addresses (Care Compare)

7 Cambridge Dr
Suite 201
Trumbull, CT 06611-4763
Phone (203) 335-0195

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates, PC Family CurrentSince Oct 28, 2016 Accepting new patients
Christopher C Randolph PastSince Aug 1, 2015 Accepting new patients

Locations

900 Madison Ave
Ste 209
Bridgeport, CT 06606
Phone (203) 335-0195

7 Cambridge Dr
Ste 201
Trumbull, CT 06611
Phone (203) 335-0195

Organizations & group practices 2

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": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1316322696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CAMBRIDGE DR STE 201",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114763",
            "telephone_number": "203-335-0195",
            "fax_number": "203-335-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CAMBRIDGE DR STE 201",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114763",
            "telephone_number": "203-335-0195",
            "fax_number": "203-335-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGGLAND",
        "first_name": "RACHEL",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "6171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316322696",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "BRYAN",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Trumbull, CT

Sources for this page

Verify at the official NPI Registry.