Active NPI
Amber Irimia, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5602
- Practice address
- 675 Tower Ave Ste 301
Hartford, CT 06112 - Phone
- (860) 714-2750
- Fax
- (860) 714-8591
- NPI assigned
- Jan 9, 2014
- Last updated
- May 16, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 005602 | CT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5602 | CT | Primary |
Addresses
Primary practice location
675 Tower Ave Ste 301
Hartford, CT 06112
Mailing address
1300 Hall Blvd
3Rd Floor, Pod D
Bloomfield, CT 06002-2918
Phone (860) 714-2338
Other practice location 1
30 Dorset Xing Ste 400
Simsbury, CT 06070-1473
Phone (860) 714-2750
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Previously, effective Oct 3, 2022 through Oct 3, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5602 | CT | MD | Social Worker |
| 005602 | CT | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health of New England Provider Network Organization Inc | Nurse Practitioner | Past | Accepting new patients |
| Trinity Health of New England Provider Network Organization Inc | Past | Accepting new patients | |
| Saint Francis Care Medical Group, PC | Past | Accepting new patients |
Interoperability endpoints
- amber.irimia@xdr.hhchealthdirect.org
Organizations & group practices 3
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Hartford, CT
- NPI 1508172545
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
Nurse Practitioner
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Waterville, ME
- NPI 1134779531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526428800000",
"number": "1386066470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 HALL BLVD",
"address_2": "3RD FLOOR, POD D",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060022918",
"telephone_number": "860-714-2338",
"fax_number": "860-714-8612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 TOWER AVE STE 301",
"city": "HARTFORD",
"state": "CT",
"postal_code": "06112",
"telephone_number": "860-714-2750",
"fax_number": "860-714-8591"
}
],
"practiceLocations": [
{
"address_1": "30 Dorset Xing Ste 400",
"address_purpose": "LOCATION",
"city": "Simsbury",
"state": "CT",
"postal_code": "060701473",
"country_code": "US",
"telephone_number": "860-714-2750",
"fax_number": "860-714-8591",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IRIMIA",
"first_name": "AMBER",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-09",
"last_updated": "2018-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "005602",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "5602",
"primary": true
}
],
"identifiers": [],
"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 May 16, 2018; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.