Individual provider Active NPI

Makeila Tylor Deterville

  • Registered Nurse
  • Farmington, CT
National Provider Identifier
1366358277
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
143420 Issued in CT
Practice address
5 Munson Rd Ste 200
Farmington, CT 06032-2094
Phone
(860) 679-4888
NPI assigned
Aug 20, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 143420 CT Primary

Addresses

Primary practice location

5 Munson Rd Ste 200
Farmington, CT 06032-2094

Mailing address

5 Munson Rd Ste 200
Farmington, CT 06032-2094
Phone (860) 679-4888

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

NPI Registry JSON

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

{
    "created_epoch": "1787184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1366358277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MUNSON RD STE 200",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322094",
            "telephone_number": "860-679-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MUNSON RD STE 200",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322094",
            "telephone_number": "860-679-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETERVILLE",
        "first_name": "MAKEILA",
        "middle_name": "TYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "143420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 20, 2026; 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.