Individual provider Active NPI

Clare Marie Nespoli, M.S. NURSING

  • Pediatric Nurse Practitioner
  • Danbury, CT
National Provider Identifier
1396899530
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
003236 Issued in CT
Practice address
57 North St
Suite 309-311
Danbury, CT 06810-5660
Phone
(203) 743-0100
Fax
(203) 731-5268
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 003236 CT Primary

Addresses

Primary practice location

57 North St
Suite 309-311
Danbury, CT 06810-5660

Mailing address

57 North St
Suite 309-311
Danbury, CT 06810-5660
Phone (203) 743-0100

Other identifiers 2

IdentifierTypeStateIssuer
37574OtherCTCONTROLLER SUBSTANCE CERT
8002179MedicaidCT

Other names 1

  • Clare Marie Kinney 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
I20120822000051 CT Practitioner - Nurse Practitioner 3173684636 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Children'S Specialty Group, Inc. Pediatrics CurrentSince Mar 1, 2018 Accepting new patients
Connecticut Institute for Communities Inc CurrentSince May 3, 2012 Accepting new patients
Connecticut Institute for Communities Inc CurrentSince May 3, 2012 Accepting new patients
Connecticut Children'S Specialty Group, Inc. Pediatrics CurrentSince Mar 1, 2018 Accepting new patients
Pediatric Assoc of Conn PC Past Accepting new patients

Locations

120 Main St
Danbury, CT 06810
Phone (203) 456-1406

57 North St
Ste 309311
Danbury, CT 06810

57 North St
Ste 103
Danbury, CT 06810
Phone (203) 744-7007

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

76 New Britain Ave
Hartford, CT 06106
Phone (860) 545-9300

10 Columbus Blvd
Fl 4
Hartford, CT 06106
Phone (860) 837-5560

Organizations & group practices 5

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1396899530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 NORTH ST",
            "address_2": "SUITE 309-311",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105660",
            "telephone_number": "203-743-0100",
            "fax_number": "203-731-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 NORTH ST",
            "address_2": "SUITE 309-311",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105660",
            "telephone_number": "203-743-0100",
            "fax_number": "203-731-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESPOLI",
        "first_name": "CLARE",
        "middle_name": "MARIE",
        "credential": "M.S. NURSING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "003236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLER SUBSTANCE CERT",
            "identifier": "37574",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8002179",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARE",
            "last_name": "KINNEY",
            "middle_name": "MARIE",
            "credential": "M.S. NURSING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.