Individual provider Active NPI

Elizabeth Joan Donovan, RN, APRN, FNP-C

  • Family Nurse Practitioner
  • Farmington, CT
National Provider Identifier
1346077112
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13380 Issued in CT
Practice address
200 Mountain Rd
Farmington, CT 06032-2479
Phone
(860) 676-9000
NPI assigned
Sep 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 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 13380 CT Primary

Addresses

Primary practice location

200 Mountain Rd
Farmington, CT 06032-2479

Mailing address

747 W Main St Apt F
Cheshire, CT 06410-3929
Phone (845) 326-2196

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
I20250825001850 CT Practitioner - Nurse Practitioner 3476053323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2110 Silas Deane Hwy
Rocky Hill, CT 06067

4703 Roaring Run Rd
Gillett, PA 16925-9691

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13380CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Physicians, PLLC CurrentSince Oct 1, 2025 Accepting new patients
Starling Physicians PLLC CurrentSince Oct 1, 2025 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients
Pediatric Associates of Farmington LLC Past Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

300 Kensington Ave
New Britain, CT 06051
Phone (860) 224-6200

375 Willard Ave
Newington, CT 06111
Phone (860) 666-5252

2110 Silas Deane Hwy
Rocky Hill, CT 06067

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1346077112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 W MAIN ST APT F",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103929",
            "telephone_number": "845-326-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MOUNTAIN RD",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322479",
            "telephone_number": "860-676-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "ELIZABETH",
        "middle_name": "JOAN",
        "credential": "RN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "13380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.