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
Hospital & facility affiliations 2
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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100716000214 | CT | Practitioner - Nurse Practitioner | 3274665922 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001732 | CT | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Connecticut Health Center | Current |
Accepting new patients | |
| University of Connecticut Health Center | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D400017969 | Other | CT | MEDICARE PTAN FOR UMG |
| 004225589 | Medicaid | CT |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sbarnosky10645@direct.med.uchc.edu |
NPI Registry JSON
{
"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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- Gal Barkay
- Dina Marie Barnaby
- Joshua James Barnaby
- Theresa Sweeney Barnett
- Barbara Baron
- Matthew Barr
- Gregory Charles Barron
- Linda K. Barry
- Maya Barsky
All providers in Farmington, CT · Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.