Active NPI
Suzanne Walker, PA
- Physician Assistant
- Hartford, CT
National Provider Identifier
1366416794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 000048
- Practice address
- 282 Washington St
Hartford, CT 06106-3322 - Phone
- (860) 545-9000
- Fax
- (860) 545-9969
- NPI assigned
- Feb 14, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 000048 | CT | Primary |
Addresses
Primary practice location
282 Washington St
Hartford, CT 06106-3322
Mailing address
282 Washington St
Hartford, CT 06106-3322
Phone (860) 545-9000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1181599 | Other | CT | USA |
| 4645788 | Other | CT | AETNA |
| 010048 | Other | CT | CONNECTICARE |
| 2472591 | Other | CT | COVENTRY |
| PENDING | Other | CT | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000048 | CT | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Charlotte Hungerford Hospital | Current | Accepting new patients |
Locations
540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361
Interoperability endpoints
- swalker@direct.wtbyhosp.org
Organizations & group practices 1
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.
-
- Psychiatric Hospital Unit
- Torrington, CT
- NPI 1639255870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405555200000",
"number": "1366416794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "282 WASHINGTON ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063322",
"telephone_number": "860-545-9000",
"fax_number": "860-545-9969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "282 WASHINGTON ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063322",
"telephone_number": "860-545-9000",
"fax_number": "860-545-9969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "SUZANNE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-14",
"last_updated": "2014-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "000048",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA",
"identifier": "1181599",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4645788",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "010048",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "2472591",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "PENDING",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.