Individual provider Active NPI

Ellen Ormond Zummo, APRN

  • Nurse Practitioner
  • Hamden, CT
National Provider Identifier
1336741719
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9327 Issued in CT
Practice address
1 Evergreen Ave
Hamden, CT 06518-2717
Phone
(203) 376-0220
NPI assigned
Nov 11, 2020
Last updated
May 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9327 CT Primary
Gerontology Nurse Practitioner 363LG0600X 9327 CT

Addresses

Primary practice location

1 Evergreen Ave
Hamden, CT 06518-2717

Mailing address

1 Evergreen Ave
Hamden, CT 06518-2717
Phone (203) 376-0220

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
I20210122001080 CT Practitioner - Nurse Practitioner 4284048828 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Evergreen Ave
Suite 34
Hamden, CT 06518-2732
Phone (203) 376-0220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Patient Choice Medical Care LLC CurrentSince May 1, 2021 Accepting new patients
Supportive Solutions Behavioral Health and Wellness LLC CurrentSince Apr 27, 2024 Accepting new patients
Griffin Faculty Physicians, Inc. CurrentSince Jun 12, 2023 Accepting new patients
Heart Wellness Group, LLC CurrentSince Oct 2, 2023 Accepting new patients
The Griffin Hospital PastSince Jun 1, 2023 Accepting new patients
Mindful Mediation LLC Past Accepting new patients

Locations

665 W Main St
Cheshire, CT 06410
Phone (203) 272-2901

130 Division St
Derby, CT 06418
Phone (203) 732-1330

67 Maple Ave
Derby, CT 06418
Phone (203) 732-0699

1 Evergreen Ave
Ste 34
Hamden, CT 06518
Phone (203) 376-0220

2427 Whitney Ave
Hamden, CT 06518
Phone (203) 714-4441

110 Commerce Dr
Shelton, CT 06484
Phone (203) 926-1897

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1336741719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EVERGREEN AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182717",
            "telephone_number": "203-376-0220",
            "fax_number": "203-651-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EVERGREEN AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065182717",
            "telephone_number": "203-376-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORMOND ZUMMO",
        "first_name": "ELLEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "9327",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CT",
            "license": "9327",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.