Individual provider Active NPI

Tina Loarte-Rodriguez, MSN, RN, CIC, CPPS

  • Community Health Registered Nurse
  • Plainville, CT
National Provider Identifier
1457960254
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
77815 Issued in CT
Practice address
91 Northwest Dr
Plainville, CT 06062-1534
Phone
(860) 793-3500
NPI assigned
Jul 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 77815 CT Primary

Addresses

Primary practice location

91 Northwest Dr
Plainville, CT 06062-1534

Mailing address

44 Cloos Rd
Bristol, CT 06010-8002
Phone (917) 532-8536

Other identifiers 1

IdentifierTypeStateIssuer
77815MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Bristol

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)
Not enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
77815CTMDCommunity Health Registered Nurse

Interoperability endpoints

  • Direct secure messaging: tina.loarterodriguez.p1@direct.wheelerclinic.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1457960254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 CLOOS RD",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060108002",
            "telephone_number": "917-532-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 NORTHWEST DR",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060621534",
            "telephone_number": "860-793-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOARTE-RODRIGUEZ",
        "first_name": "TINA",
        "credential": "MSN, RN, CIC, CPPS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CT",
            "license": "77815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77815",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bristol",
            "affiliation": "N",
            "address_1": "91 Northwest Dr",
            "city": "Plainville",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060621534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plainville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.