Individual provider Active NPI

Patricia Neeson, RN

  • Infection Control Registered Nurse
  • New Haven, CT
National Provider Identifier
1346949138
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infection Control Registered NurseTaxonomy code 163WI0600X
License
E51122 Issued in CT
Practice address
118 Clinton Ave
New Haven, CT 06513-3199
Phone
(203) 668-5974
NPI assigned
Mar 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infection Control Registered Nurse 163WI0600X E51122 CT Primary

Addresses

Primary practice location

118 Clinton Ave
New Haven, CT 06513-3199

Mailing address

118 Clinton Ave
New Haven, CT 06513-3199
Phone (203) 562-7222

Other identifiers 1

IdentifierTypeStateIssuer
E51122OtherCTVACCINE ADMINISTRATOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
E51122CTMDInfection Control Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1346949138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CLINTON AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065133199",
            "telephone_number": "203-562-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 CLINTON AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065133199",
            "telephone_number": "203-668-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEESON",
        "first_name": "PATRICIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "CT",
            "license": "E51122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VACCINE ADMINISTRATOR",
            "identifier": "E51122",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.