Active NPI
Ashley Pedneault, APRN
- Family Nurse Practitioner
- Farmington, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11162
- Practice address
- 599 Farmington Ave
Farmington, CT 06032-2381 - Phone
- (860) 837-5170
- NPI assigned
- Oct 31, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11162 | CT | Primary |
| Nurse Practitioner | 363L00000X | 11162 | CT |
Addresses
Primary practice location
599 Farmington Ave
Farmington, CT 06032-2381
Mailing address
74 Schaller Rd
Manchester, CT 06042-2849
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | adurkin79604@connecticutchildrens.direct-ci.com |
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: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11162 | CT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Children'S Specialty Group, Inc. | Current | Accepting new patients | |
| Connecticut Children'S Specialty Group, Inc. | Current | Accepting new patients |
Locations
599 Farmington Ave
Farmington, CT 06032
Phone (860) 284-4945
599 Farmington Ave
Ste 202
Farmington, CT 06032
Phone (860) 837-5170
10 Columbus Blvd
Fl 4
Hartford, CT 06106
Phone (860) 837-5560
282 Washington St
Hartford, CT 06106
Phone (860) 545-8950
10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Hartford, CT
- NPI 1669448882
-
- Ophthalmology Physician
- Glastonbury, CT
- NPI 1568056984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1366159352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 SCHALLER RD",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060422849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "599 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060322381",
"telephone_number": "860-837-5170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDNEAULT",
"first_name": "ASHLEY",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-31",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "11162",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "11162",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adurkin79604@connecticutchildrens.direct-ci.com",
"affiliation": "N",
"address_1": "599 Farmington Ave",
"city": "Farmington",
"state": "CT",
"country_code": "US",
"postal_code": "060322381",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.