Dina Debarros Almeida-McGlotten, APRN

Individual provider Active NPI Adult Health Nurse Practitioner · Southington, CT

NPI 1457592164 · NPPES record last updated Mar 10, 2009

Key facts

NPI
1457592164
Entity type
Individual (NPI type 1)
Primary specialty
Adult Health Nurse Practitioner 363LA2200X
License
003098 (CT)
Practice address
197 Woodberry Hill Dr
Southington, CT 06489-1851
Phone
(860) 426-2138
Fax
(860) 426-2138
NPI assigned
Mar 10, 2009
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in CT, FL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20090619000008 CT Practitioner - Nurse Practitioner 8628128451
I20191021001493 FL Practitioner - Nurse Practitioner 8628128451 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3098CTMDProfessional Counselor
003098CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Healthcare, LLC Current
since Aug 4, 2019
Accepting new patients
Absolute Outcomes, LLC Past Accepting new patients
Georgia Cancer Specialists I, PC Past Accepting new patients

Locations

10820 Sheldon Rd
Tampa, FL 33626
Phone (813) 886-7673

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 003098 CT Yes

Addresses

Primary practice location

197 Woodberry Hill Dr
Southington, CT 06489-1851

Mailing address

197 Woodberry Hill Dr
Southington, CT 06489-1851
Phone (860) 426-2138

Other providers in Southington, CT

All providers in Southington, CT · Adult Health Nurse Practitioner in Connecticut

Sources for this page

Verify at the official NPI Registry.