Active NPI
Home Rheum LLC
- Nurse Practitioner
- Hartford, CT
National Provider Identifier
1386555233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- HOME RHEUM LLC
- Practice address
- 1443 Albany Ave
Hartford, CT 06112-2110 - Phone
- (860) 655-0443
- NPI assigned
- Sep 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pauline Patricia Wilks, FNP-BC
- Title
- Manager
- Phone
- (860) 655-0443
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Rheumatology Physician | 207RR0500X | |||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
1443 Albany Ave
Hartford, CT 06112-2110
Mailing address
32 Fairfield LN
Bloomfield, CT 06002-1994
Phone (860) 655-0443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789516800000",
"number": "1386555233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 FAIRFIELD LN",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060021994",
"telephone_number": "860-655-0443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1443 ALBANY AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061122110",
"telephone_number": "860-655-0443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME RHEUM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-16",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A",
"authorized_official_last_name": "WILKS",
"authorized_official_first_name": "PAULINE",
"authorized_official_middle_name": "PATRICIA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "860-655-0443",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"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 Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.