Individual provider Active NPI

Elia Viveca Smalls, FNP-C

  • Family Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1508668252
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14618 Issued in CT
Practice address
1000 Asylum Ave Ste 3215
Hartford, CT 06105-1702
Phone
(860) 714-6980
Fax
(860) 714-6980
NPI assigned
Mar 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14618 CT Primary

Addresses

Primary practice location

1000 Asylum Ave Ste 3215
Hartford, CT 06105-1702

Mailing address

270 White St
Hartford, CT 06106-4365

Other names 1

  • Elia Viveca Acosta Former name

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
I20250513000741 CT Practitioner - Nurse Practitioner 3072031178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 Asylum Ave
Suite 3215
Hartford, CT 06105-1702
Phone (860) 714-9623

Hospital & facility affiliations

  • St Francis Hospital & Medical Center Hospital, Hartford, CT, CCN 070002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14618CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Jul 1, 2025 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Jul 1, 2025 Accepting new patients

Locations

47 Palomba Dr
Ste 201
Enfield, CT 06082
Phone (860) 272-2930

114 Woodland St
Fl 4
Hartford, CT 06105

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

1000 Asylum Ave
Ste 3215
Hartford, CT 06105
Phone (860) 244-2300

1579 Straits Tpke
Ste 2A
Middlebury, CT 06762
Phone (203) 754-3631

476 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 696-6400

216 Hemlock Ave
Ste 103
South Windsor, CT 06074
Phone (860) 471-8030

Interoperability endpoints

  • Direct secure messaging: esmalls4422861@direct.trinity-health.org

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1508668252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 WHITE ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061064365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ASYLUM AVE STE 3215",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051702",
            "telephone_number": "860-714-6980",
            "fax_number": "860-714-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLS",
        "first_name": "ELIA",
        "middle_name": "VIVECA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "14618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIA",
            "last_name": "ACOSTA",
            "middle_name": "VIVECA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.