Joan Piccolo, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

000047 Issued in CT

Practice address

80 S Main St
Middletown, CT 06457-3648

Phone

(860) 347-0720

Fax

(860) 347-0301

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Bridgeport Anesthesia Associates, P.C.

  • Anesthesiology Physician
  • Bridgeport, CT
  • NPI 1174549257

  Nurse Anesthetist, Certified Registered

  NPD
• New England Anesthesia Associates, LLC

  • Anesthesiology Physician
  • Guilford, CT
  • NPI 1891388146

  Nurse Anesthetist, Certified Registered

  NPD
• Anesthesiologists of Middletown, P.C.

  • Anesthesiology Physician
  • Middletown, CT
  • NPI 1851317135
  NPD (past)
• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497891873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573648",
            "telephone_number": "860-347-0720",
            "fax_number": "860-347-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573648",
            "telephone_number": "860-347-0720",
            "fax_number": "860-347-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCOLO",
        "first_name": "JOAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "000047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Lynn Pettinato, LPC
• Van T Phan
• Pharmcare USA of Connecticut LLC
• Jenna Carolyn Phenicie, PA-C
• Carrissa Phipps, PHD
• Maureen Pickup, MSW
• Pieper Memorial Veterinary Center
• Michael J Pierce, MD
• Jaime Allison Pietrosimone, MFT-A
• Linda Pike, LCSW

• Certified Registered Nurse Anesthetist in Middletown, CT
• Providers in Middletown, CT by specialty
• Certified Registered Nurse Anesthetist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.