Individual provider Active NPI

Nathania Consolini, APRN

  • Family Nurse Practitioner
  • South Windsor, CT
National Provider Identifier
1457100083
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13450 Issued in CT
Practice address
340 Buckland Rd
South Windsor, CT 06074-3725
Phone
(860) 777-0170
NPI assigned
May 15, 2024
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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 13450 CT Primary

Addresses

Primary practice location

340 Buckland Rd
South Windsor, CT 06074-3725

Mailing address

PO Box 23687
New York, NY 10087-3687
Phone (860) 777-0170

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
I20250303000164 CT Practitioner - Nurse Practitioner 6204357635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Connecticut Dermatology PLLCGroup PAC ID 8527301365, 20 clinicians

Practice addresses (Care Compare)

340 Buckland Rd
FL 2
South Windsor, CT 06074-3725
Phone (860) 322-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13450CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Connecticut Dermatology, PLLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

40 Dale Rd
Ste 100
Avon, CT 06001
Phone (860) 322-2222

340 Buckland Rd
South Windsor, CT 06074
Phone (860) 322-2222

340 Buckland Rd
Fl 2
South Windsor, CT 06074
Phone (860) 322-2222

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1457100083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23687",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100873687",
            "telephone_number": "860-777-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BUCKLAND RD",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060743725",
            "telephone_number": "860-777-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSOLINI",
        "first_name": "NATHANIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "13450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Windsor, CT

Sources for this page

Verify at the official NPI Registry.