Active NPI
Terry M Poppiti, APRN
- Neonatal Nurse Practitioner
- Manchester, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 001086
- Practice address
- 71 Haynes St
Neonatal Intensive Care
Manchester, CT 06040-4131 - Phone
- (860) 647-4748
- NPI assigned
- Feb 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 001086 | CT | Primary |
Addresses
Primary practice location
71 Haynes St
Neonatal Intensive Care
Manchester, CT 06040-4131
Mailing address
71 Haynes St
Neonatal Intensive Care
Manchester, CT 06040-4131
Phone (860) 647-4748
Other practice location 1
282 Washington St
Hartford, CT 06106-3322
Phone (860) 545-9200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004254463 | Medicaid | CT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tpoppiti7444@connecticutchildrens.direct-ci.com |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospect CT Medical Foundation, Inc. | Current | Accepting new patients | |
| Connecticut Children'S Specialty Group, Inc. | Current | Accepting new patients | |
| Connecticut Children'S Specialty Group, Inc. | Current | Accepting new patients | |
| Day Kimball Medical Group Inc | Current | Accepting new patients | |
| Eastern Connecticut Medical Professionals Foundation Inc | Past | Accepting new patients |
Locations
1801 W Olympic Blvd
#2201
Pasadena, CA 91199
132 Westminster Rd
Canterbury, CT 06331
Phone (860) 546-2225
10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619
282 Washington St
Hartford, CT 06106
Phone (860) 545-8950
10 Columbus Blvd
Fl 4
Hartford, CT 06106
Phone (860) 837-5560
71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981
18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557
320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331
6 Fieldstone Cmns
Ste D
Tolland, CT 06084
Phone (860) 871-6710
Interoperability endpoints
- tpoppiti7444@connecticutchildrens.direct-ci.com
- terry.poppiti@xdr.hhchealthdirect.org
- https://api.platform.athenahealth.com/1694/brand/19/csg/48/fhir/r4
Organizations & group practices 5
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.
-
- Pediatrics Physician
- Hartford, CT
- NPI 1669448882
-
- Family Medicine Physician
- Putnam, CT
- NPI 1376813972
-
- Family Medicine Physician
- Manchester, CT
- NPI 1144677568
-
- Ophthalmology Physician
- Glastonbury, CT
- NPI 1568056984
-
- Family Medicine Physician
- Manchester, CT
- NPI 1770557712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1467427948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 HAYNES ST",
"address_2": "NEONATAL INTENSIVE CARE",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060404131",
"telephone_number": "860-647-4748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 HAYNES ST",
"address_2": "NEONATAL INTENSIVE CARE",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060404131",
"telephone_number": "860-647-4748"
}
],
"practiceLocations": [
{
"address_1": "282 Washington St",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "061063322",
"country_code": "US",
"telephone_number": "860-545-9200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POPPITI",
"first_name": "TERRY",
"middle_name": "M",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-20",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "CT",
"license": "001086",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004254463",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tpoppiti7444@connecticutchildrens.direct-ci.com",
"affiliation": "N",
"address_1": "282 Washington St",
"city": "Hartford",
"state": "CT",
"country_code": "US",
"postal_code": "061063322",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.