Individual provider Active NPI

Felicia S Addae, APRN

  • Family Nurse Practitioner
  • Glastonbury, CT
National Provider Identifier
1396112207
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6263 Issued in CT
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

Updated by the provider on Aug 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
I20151022001634 CT Practitioner - Nurse Practitioner 3173832607 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care PC LLC CurrentSince Jul 7, 2021 Accepting new patients
Impact Health P.C. Family CurrentSince Feb 1, 2022 Accepting new patients
Impact Health Psych PC CurrentSince Feb 1, 2022 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

Verify at the official NPI Registry.