Individual provider Active NPI

Julie Anne Quistorff, APRN

  • Pediatric Nurse Practitioner
  • Danbury, CT
National Provider Identifier
1437776226
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
8914 Issued in CT
Practice address
107 Newtown Rd Ste 1D
Danbury, CT 06810-4157
Phone
(203) 790-0822
NPI assigned
Jun 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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 8914 CT Primary

Addresses

Primary practice location

107 Newtown Rd Ste 1D
Danbury, CT 06810-4157

Mailing address

92 Plains Rd Apt I164
Milford, CT 06461-2517

Other practice location 1

11 Rt-37
New Fairfield, CT 06812
Phone (203) 790-0822

Other practice location 2

599 Farmington Ave
Farmington, CT 06032-2381
Phone (860) 837-5170

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jquistorff15588@direct.connecticutchildrens.org

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
I20220805002767 CT Practitioner - Nurse Practitioner 5496137598 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8914CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Children'S Specialty Group, Inc. Pediatrics CurrentSince Jul 25, 2022 Accepting new patients
Connecticut Children'S Specialty Group, Inc. Pediatrics CurrentSince Jul 25, 2022 Accepting new patients
Center for Pediatric Medicine Pediatrics PastSince Jul 5, 2020 Accepting new patients
The Center for Advanced Pediatrics, P.C Pediatrics PastSince Jul 5, 2020 Accepting new patients

Locations

599 Farmington Ave
Farmington, CT 06032
Phone (860) 284-4945

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

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

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

Organizations & group practices 4

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": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1437776226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 PLAINS RD APT I164",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064612517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 NEWTOWN RD STE 1D",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104157",
            "telephone_number": "203-790-0822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Rt-37",
            "address_purpose": "LOCATION",
            "city": "New Fairfield",
            "state": "CT",
            "postal_code": "06812",
            "country_code": "US",
            "telephone_number": "203-790-0822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "599 Farmington Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060322381",
            "country_code": "US",
            "telephone_number": "860-837-5170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUISTORFF",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "8914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jquistorff15588@direct.connecticutchildrens.org",
            "affiliation": "N",
            "address_1": "599 Farmington Ave",
            "city": "Farmington",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060322381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.