Sandra A Barnosky, APRN

Individual provider Active NPI Nurse Practitioner · Farmington, CT

NPI 1366441628 · NPPES record last updated Sep 26, 2022

Key facts

NPI
1366441628
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
001732 (CT)
Practice address
263 Farmington Ave
Mc1705
Farmington, CT 06030-0001
Phone
(860) 679-2223
Fax
(860) 679-1233
NPI assigned
Jul 19, 2005
Sex
Female
Sole proprietor
No

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Yale University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Connecticut Health Center (624 clinicians)

Practice addresses (Care Compare)

263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3692

Hospital & facility affiliations

  • John Dempsey Hospital of the University of Connect Hospital · Farmington, CT · CCN 070036

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20100716000214 CT Practitioner - Nurse Practitioner 3274665922 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
001732CTMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Connecticut Health Center Current
since Apr 14, 2010
Accepting new patients
University of Connecticut Health Center Current
since Apr 14, 2010
Accepting new patients

Locations

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

263 Farmington Ave
#1705
Farmington, CT 06030
Phone (860) 679-2223

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 001732 CT
Nurse Practitioner 363L00000X 001732 CT Yes

Addresses

Primary practice location

263 Farmington Ave
Mc1705
Farmington, CT 06030-0001

Mailing address

1007 Woodbury Rd
Watertown, CT 06795-1760
Phone (860) 679-2223

Other identifiers

IdentifierTypeStateIssuer
D400017969OtherCTMEDICARE PTAN FOR UMG
004225589MedicaidCT

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address sbarnosky10645@direct.med.uchc.edu

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 26, 2022.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1366441628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 WOODBURY RD",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067951760",
            "telephone_number": "860-679-2223",
            "fax_number": "860-679-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "address_2": "MC1705",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060300001",
            "telephone_number": "860-679-2223",
            "fax_number": "860-679-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNOSKY",
        "first_name": "SANDRA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CT",
            "license": "001732",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "001732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN FOR UMG",
            "identifier": "D400017969",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004225589",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbarnosky10645@direct.med.uchc.edu",
            "affiliation": "N",
            "address_1": "Uconn Medical Group",
            "address_2": "263 Farmington Avenue",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060300001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington, CT

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Sources for this page

Verify at the official NPI Registry.