Active NPI
Donna Mae Valva, APRN
- Nurse Practitioner
- Middletown, CT
National Provider Identifier
1356623581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 004775
- Practice address
- 420 Saybrook Rd
Suite a
Middletown, CT 06457-4747 - Phone
- (860) 347-4258
- Fax
- (860) 704-5924
- NPI assigned
- Sep 14, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 004775 | CT | Primary |
Addresses
Primary practice location
420 Saybrook Rd
Suite a
Middletown, CT 06457-4747
Mailing address
420 Saybrook Rd
Suite a
Middletown, CT 06457-4747
Phone (860) 347-4258
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004047759 | Medicaid | CT |
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 |
|---|---|---|---|
| 004775 | CT | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412726400000",
"number": "1356623581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 SAYBROOK RD",
"address_2": "SUITE A",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064574747",
"telephone_number": "860-347-4258",
"fax_number": "860-704-5924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 SAYBROOK RD",
"address_2": "SUITE A",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064574747",
"telephone_number": "860-347-4258",
"fax_number": "860-704-5924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALVA",
"first_name": "DONNA",
"middle_name": "MAE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-14",
"last_updated": "2014-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "004775",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004047759",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.