Individual provider Active NPI

Debra Ann Tashlein, APRN

  • Women's Health Nurse Practitioner
  • Madison, CT
National Provider Identifier
1326079195
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
003158 Issued in CT
Practice address
71 Bradley Rd Unit 4
Madison, CT 06443-2662
Phone
(203) 545-4416
NPI assigned
Jul 6, 2006
Last updated
May 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 003158 CT Primary

Addresses

Primary practice location

71 Bradley Rd Unit 4
Madison, CT 06443-2662

Mailing address

465 Golf Rd
Orange, CT 06477-2115
Phone (203) 545-4416

Other practice location 1

465 Golf Rd
Orange, CT 06477-2115
Phone (203) 545-4416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 22, 2025 through Sep 22, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3158CTMDProfessional Counselor
003158CTMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1326079195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 GOLF RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064772115",
            "telephone_number": "203-545-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 BRADLEY RD UNIT 4",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432662",
            "telephone_number": "203-545-4416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "465 Golf Rd",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CT",
            "postal_code": "064772115",
            "country_code": "US",
            "telephone_number": "203-545-4416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TASHLEIN",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CT",
            "license": "003158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, CT

Sources for this page

Verify at the official NPI Registry.