Individual provider Active NPI

Veronica Mariana Sirur-Flores, PMHP, APRN, LPC

  • Psychiatric/Mental Health Nurse Practitioner
  • Norwich, CT
National Provider Identifier
1366721664
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
13009 Issued in CT
Practice address
18 Oneco St Ste 3
Norwich, CT 06360-3440
Phone
(860) 303-3172
NPI assigned
Aug 4, 2011
Last updated
May 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 13009 CT Primary
Professional Counselor 101YP2500X 002078 CT

Addresses

Primary practice location

18 Oneco St Ste 3
Norwich, CT 06360-3440

Mailing address

18 Oneco St Ste 3
Norwich, CT 06360-3440
Phone (860) 303-3172

Other practice location 1

7 Vauxhall St
New London, CT 06320-5711
Phone (860) 437-4550

Other identifiers 1

IdentifierTypeStateIssuer
004235942MedicaidCT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241030000636 CT Practitioner - Nurse Practitioner 1557894573 Reassigns benefits to 1 organization
Practice locations: Norwich, CT

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

18 Oneco St
Suite 3
Norwich, CT 06360-3440
Phone (860) 303-3172

47 Town St
Norwich, CT 06360-2323
Phone (860) 892-7042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002078CTMDMedical Physician Assistant
13009CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Community and Family Services, Inc. CurrentSince Jan 22, 2025 Accepting new patients

Locations

70 Main St
Jewett City, CT 06351
Phone (860) 376-7040

47 Town St
Norwich, CT 06360

Interoperability endpoints

  • Direct secure messaging: vsirurflores295815@direct.ochin.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1366721664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ONECO ST STE 3",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063603440",
            "telephone_number": "860-303-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ONECO ST STE 3",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063603440",
            "telephone_number": "860-303-3172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Vauxhall St",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "CT",
            "postal_code": "063205711",
            "country_code": "US",
            "telephone_number": "860-437-4550",
            "fax_number": "860-661-4262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIRUR-FLORES",
        "first_name": "VERONICA",
        "middle_name": "MARIANA",
        "credential": "PMHP, APRN, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "13009",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002078",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004235942",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

Verify at the official NPI Registry.