Organization Active NPI

Fairfield Health and Wellness Solutions, LLC

  • Family Nurse Practitioner
  • Monroe, CT
National Provider Identifier
1457724056
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
001767 Issued in CT
Legal business name
FAIRFIELD HEALTH AND WELLNESS SOLUTIONS, LLC
Practice address
324 Elm St
Suite 203a
Monroe, CT 06468-2280
Phone
(203) 220-6306
Fax
(203) 220-6308
NPI assigned
Nov 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Authorized official

Name
Mrs. Deenna Monica Nealon, APRNNPI 1609880905
Title
Family Nurse Practitioner
Phone
(203) 220-6306

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 001767 CT Primary

Addresses

Primary practice location

324 Elm St
Suite 203a
Monroe, CT 06468-2280

Mailing address

324 Elm St
Suite 203a
Monroe, CT 06468-2280
Phone (203) 220-6306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160229000711 CT Part B Supplier - Clinic/Group Practice 6204131311 Receives reassigned benefits from 1 practitioner
Practice locations: Monroe, CT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1457724056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 ELM ST",
            "address_2": "SUITE 203A",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064682280",
            "telephone_number": "203-220-6306",
            "fax_number": "203-220-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 ELM ST",
            "address_2": "SUITE 203A",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064682280",
            "telephone_number": "203-220-6306",
            "fax_number": "203-220-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD HEALTH AND WELLNESS SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "NEALON",
        "authorized_official_first_name": "DEENNA",
        "authorized_official_middle_name": "MONICA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "203-220-6306",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "001767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.