Active NPI
Felicia S Addae, APRN
- Family Nurse Practitioner
- Glastonbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 6263
- Practice address
- 2639 Main St
Glastonbury, CT 06033-2023 - Phone
- (203) 715-5246
- NPI assigned
- Aug 26, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6263 | CT | Primary |
Addresses
Primary practice location
2639 Main St
Glastonbury, CT 06033-2023
Mailing address
425 Plainville Ave
Unionville, CT 06085-1419
Phone (203) 715-5246
Other names 1
- Felicia S Opoku
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151022001634 | CT | Practitioner - Nurse Practitioner | 3173832607 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Step Up Care PC LLC | Current | Accepting new patients | |
| Impact Health P.C. | Family | Current | Accepting new patients |
| Impact Health Psych PC | Current | Accepting new patients |
Locations
14 Westport Ave
Norwalk, CT 06851
Phone (203) 497-3867
240 Indian River Rd
Ste C7
Orange, CT 06477
Phone (203) 497-3867
240 Indian River Rd
Ste C
Orange, CT 06477
Phone (203) 497-3867
595 Valley St
Willimantic, CT 06226
Phone (860) 450-7060
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
27 Randolph Rd
#A
Howell, NJ 07731
Phone (732) 797-9290
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440547200000",
"number": "1396112207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 PLAINVILLE AVE",
"city": "UNIONVILLE",
"state": "CT",
"postal_code": "060851419",
"telephone_number": "203-715-5246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2639 MAIN ST",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060332023",
"telephone_number": "203-715-5246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADDAE",
"first_name": "FELICIA",
"middle_name": "S",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-26",
"last_updated": "2015-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "6263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "FELICIA",
"last_name": "OPOKU",
"middle_name": "S",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.