Individual provider Active NPI

Nadine Caron, APRN

  • Nurse Practitioner
  • South Windsor, CT
National Provider Identifier
1487027678
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
6422 Issued in CT
Practice address
34 Pleasant Valley Rd
South Windsor, CT 06074
Phone
(860) 305-6340
NPI assigned
Nov 10, 2015
Last updated
Jul 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 6422 CT Primary
Family Nurse Practitioner 363LF0000X 2015013345 CT

Addresses

Primary practice location

34 Pleasant Valley Rd
South Windsor, CT 06074

Mailing address

34 Pleasant Valley Rd
South Windsor, CT 06074-3314
Phone (860) 305-6340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160229000853 CT Practitioner - Nurse Practitioner 4082919097 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015013345CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Connecticut, PC CurrentSince Mar 1, 2018 Accepting new patients
Hartford Healthcare Urgent Care Centers, LLC CurrentSince Aug 6, 2018 Accepting new patients
Prospect CT Medical Foundation, Inc. Nurse Practitioner CurrentSince May 4, 2020 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Mar 1, 2018 Accepting new patients
Darshan J Shah MD LLC CurrentSince Jan 11, 2016 Accepting new patients
Emergency Care Services of Connecticut, P.C. Nurse Practitioner CurrentSince Apr 1, 2020 Accepting new patients
Hospitalist Medicine Physicians of Connecticut, LLC Nurse Practitioner CurrentSince Dec 1, 2017 Accepting new patients
Johnson Memorial Hospital, Inc. Past Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

385 W Main St
Avon, CT 06001
Phone (860) 777-1280

2 Main St
Danbury, CT 06810
Phone (203) 826-2140

139 Hazard Ave
#4
Enfield, CT 06082
Phone (860) 763-0208

139 Hazard Ave
Bldg 4
Enfield, CT 06082
Phone (860) 763-0208

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

135 E Main St
New Britain, CT 06051
Phone (860) 357-6899

2800 Tamarack Ave
Ste 100
South Windsor, CT 06074
Phone (860) 533-4692

179 Talcottville Rd
Vernon Rockville, CT 06066
Phone (860) 986-7600

31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-5600

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1487027678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 PLEASANT VALLEY RD",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060743314",
            "telephone_number": "860-305-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 PLEASANT VALLEY RD",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "06074",
            "telephone_number": "860-305-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARON",
        "first_name": "NADINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-10",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "6422",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "2015013345",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Windsor, CT

Sources for this page

Verify at the official NPI Registry.