Individual provider Active NPI

Joann Altieri Price, MD

  • General Practice Physician
  • Willmantic, CT
National Provider Identifier
1356364806
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
028161 Issued in CT
Practice address
185 Birch St
Willmantic, CT 06226-2107
Phone
(860) 465-5283
Fax
(860) 465-4560
NPI assigned
Jul 25, 2006
Last updated
Jul 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 028161 CT
Gynecology Physician 207VG0400X 028161 CT
General Practice Physician 208D00000X 028161 CT Primary

Addresses

Primary practice location

185 Birch St
Willmantic, CT 06226-2107

Mailing address

166 Ice House Rd Unit 39
Oakville, CT 06779-1570
Phone (203) 910-7508

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
028161CTMDGynecology Physician

Interoperability endpoints

  • Direct secure messaging: jprice@direct.wtbyhosp.org

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1356364806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 ICE HOUSE RD UNIT 39",
            "city": "OAKVILLE",
            "state": "CT",
            "postal_code": "067791570",
            "telephone_number": "203-910-7508",
            "fax_number": "860-274-7245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 BIRCH ST",
            "city": "WILLMANTIC",
            "state": "CT",
            "postal_code": "062262107",
            "telephone_number": "860-465-5283",
            "fax_number": "860-465-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "JOANN",
        "middle_name": "ALTIERI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "028161",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CT",
            "license": "028161",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CT",
            "license": "028161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.