Active NPI
Jacqueline Rugg, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Hamden, CT
National Provider Identifier
1427077460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 000077
- Practice address
- 3074 Whitney Ave
Building 1; 2ND Floor
Hamden, CT 06518-2391 - Phone
- (203) 287-2400
- Fax
- (203) 453-9684
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 000077 | CT | Primary |
Addresses
Primary practice location
3074 Whitney Ave
Building 1; 2ND Floor
Hamden, CT 06518-2391
Mailing address
3074 Whitney Ave
Building 1; 2ND Floor
Hamden, CT 06518-2391
Phone (203) 287-2400
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 187096 | Other | CT | MHN |
| P2743620 | Other | CT | OXFORD |
| 163026 | Other | CT | VALUE OPTIONS |
| 400000077CT-02 | Other | CT | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000077 | CT | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406073600000",
"number": "1427077460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3074 WHITNEY AVE",
"address_2": "BUILDING 1; 2ND FLOOR",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065182391",
"telephone_number": "203-287-2400",
"fax_number": "203-453-9684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3074 WHITNEY AVE",
"address_2": "BUILDING 1; 2ND FLOOR",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065182391",
"telephone_number": "203-287-2400",
"fax_number": "203-453-9684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUGG",
"first_name": "JACQUELINE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2014-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "000077",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "187096",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2743620",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "163026",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "400000077CT-02",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.