Individual provider Active NPI

Terry M Poppiti, APRN

  • Neonatal Nurse Practitioner
  • Manchester, CT
National Provider Identifier
1467427948
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
001086 Issued in CT
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

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
004254463MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111114000634 CT Practitioner - Nurse Practitioner 1153344833 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect CT Medical Foundation, Inc. CurrentSince Sep 1, 2016 Accepting new patients
Connecticut Children'S Specialty Group, Inc. CurrentSince Aug 4, 2011 Accepting new patients
Connecticut Children'S Specialty Group, Inc. CurrentSince Aug 4, 2011 Accepting new patients
Day Kimball Medical Group Inc CurrentSince Jan 1, 2013 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

  • Direct secure messaging: tpoppiti7444@connecticutchildrens.direct-ci.com
  • Direct secure messaging: terry.poppiti@xdr.hhchealthdirect.org
  • FHIR API: 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.

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

Verify at the official NPI Registry.