Individual provider Active NPI

Jaclyn Beirne, M.D.

  • Clinical Genetics (M.D.) Physician
  • Farmington, CT
National Provider Identifier
1346656774
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
061068 Issued in CT
Practice address
11 South Rd Ste 230
Farmington, CT 06032-2483
Phone
(860) 679-1440
Fax
(860) 679-0145
NPI assigned
Jul 7, 2014
Last updated
Sep 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Clinical Genetics (M.D.) Physician 207SG0201X 061068 CT Primary

Addresses

Primary practice location

11 South Rd Ste 230
Farmington, CT 06032-2483

Mailing address

263 Farmington Ave
Farmington, CT 06030-8082
Phone (860) 679-1440

Other practice location 1

11 South Rd Ste 230
Farmington, CT 06032-2483
Phone (860) 679-1440

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jbeirne28808@connecticutchildrens.direct-ci.com
Direct Messaging Address jbeirne11297@direct.med.uchc.edu

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190514001805 CT Practitioner - Medical Genetics and Genomics 6103169172 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Genetics and Genomics
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

11 S Rd
Farmington, CT 06032-2483
Phone (860) 679-3343

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Connecticut Health Center CurrentSince Jul 1, 2019 Accepting new patients
Connecticut Children's Specialty Group, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Connecticut Children's Specialty Group, Inc. CurrentSince Oct 1, 2019 Accepting new patients
University of Connecticut Health Center CurrentSince Jul 1, 2019 Accepting new patients
State of Connecticut PastSince Oct 2, 2022 Accepting new patients
University of Connecticut Health Center Past Accepting new patients

Locations

11 South Rd
Farmington, CT 06032
Phone 571568900365171

11 South Rd
Ste 230
Farmington, CT 06032
Phone (860) 679-1440

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

10 Columbus Blvd
Fl 4
Hartford, CT 06106
Phone (860) 837-5560

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

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.

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": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1346656774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060308082",
            "telephone_number": "860-679-1440",
            "fax_number": "860-679-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SOUTH RD STE 230",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322483",
            "telephone_number": "860-679-1440",
            "fax_number": "860-679-0145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 South Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060322483",
            "country_code": "US",
            "telephone_number": "860-679-1440",
            "fax_number": "860-679-0145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEIRNE",
        "first_name": "JACLYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "CT",
            "license": "061068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbeirne28808@connecticutchildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "11 South Rd Ste 230",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060322483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbeirne11297@direct.med.uchc.edu",
            "affiliation": "N",
            "address_1": "Uconn Medical Group",
            "address_2": "263 Farmington Avenue",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060300001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.