Active NPI
Victoria Ann Wasserman, CRNA, APRN
- Certified Registered Nurse Anesthetist
- West Hartford, CT
National Provider Identifier
1356358469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 000417
- Practice address
- 345 N Main St
Suite 103
West Hartford, CT 06117-2515 - Phone
- (860) 231-1111
- NPI assigned
- Aug 2, 2006
- Last updated
- Oct 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | E47444 | CT | |
| Certified Registered Nurse Anesthetist | 367500000X | 244551 | MA | |
| Certified Registered Nurse Anesthetist | 367500000X | 000417 | CT | Primary |
Addresses
Primary practice location
345 N Main St
Suite 103
West Hartford, CT 06117-2515
Mailing address
345 N Main St
Suite 103
West Hartford, CT 06117-2515
Phone (860) 231-1111
Other names 1
- Victoria Ann Bock
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E47444 | CT | MD | Registered Nurse |
| 000417 | CT | MD | Naturopath |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norwich Anesthesia Associates, PC | Past | Accepting new patients | |
| Farmington Surgery Center LLC | Past | Accepting new patients | |
| Anesthesiology Associates of Eastern Connecticut, P.C | Past | Accepting new patients | |
| Anesthesiologists of Middletown, P.C. | Past | Accepting new patients | |
| North American Partners in Anesthesia Connecticut PC | Past | Accepting new patients | |
| Hartford Anesthesiology Associates, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
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.
-
- Anesthesiology Physician
- Middletown, CT
- NPI 1851317135
-
- Anesthesiology Physician
- Manchester, CT
- NPI 1730154196
-
- Ambulatory Surgical Clinic/Center
- Farmington, CT
- NPI 1356348148
-
- Anesthesiology Physician
- Hartford, CT
- NPI 1336195015
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- New Britain, CT
- NPI 1316994775
-
- Anesthesiology Physician
- Norwich, CT
- NPI 1114965035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256342400000",
"number": "1356358469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 N MAIN ST",
"address_2": "SUITE 103",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061172515",
"telephone_number": "860-231-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 N MAIN ST",
"address_2": "SUITE 103",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061172515",
"telephone_number": "860-231-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASSERMAN",
"first_name": "VICTORIA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "CRNA, APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2009-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "E47444",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MA",
"license": "244551",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "000417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VICTORIA",
"last_name": "BOCK",
"middle_name": "ANN",
"credential": "CRNA, APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.