Individual provider Active NPI

Jennifer Calderon Baharian, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Norwalk, CT
National Provider Identifier
1497698914
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
17408 Issued in CT
Practice address
75 Cranbury Rd
Norwalk, CT 06851-2617
Phone
(203) 505-2313
NPI assigned
Apr 10, 2026
Last updated
May 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 17408 CT Primary

Addresses

Primary practice location

75 Cranbury Rd
Norwalk, CT 06851-2617

Mailing address

75 Cranbury Rd
Norwalk, CT 06851-2617
Phone (203) 505-2313

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

State licenses

LicenseStateTypeSpecialty
17408CTMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1775779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1497698914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CRANBURY RD",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068512617",
            "telephone_number": "203-505-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CRANBURY RD",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068512617",
            "telephone_number": "203-505-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON BAHARIAN",
        "first_name": "JENNIFER",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-10",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "17408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.