Active NPI
Dawn Marie Massey, NP-BC
- Nurse Practitioner
- Avon, CT
National Provider Identifier
1528389962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 004309
- Practice address
- 30 West Avon Road
Avon, CT 06001 - Phone
- (860) 673-2581
- NPI assigned
- Jun 21, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 004309 | CT | Primary |
Addresses
Primary practice location
30 West Avon Road
Avon, CT 06001
Mailing address
30 W Avon Rd
Avon, CT 06001-3678
Phone (860) 673-2581
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528389962 | Medicaid | CT |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004309 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health of New England Provider Network Organization Inc | Nurse Practitioner | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348444800000",
"number": "1528389962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 W AVON RD",
"city": "AVON",
"state": "CT",
"postal_code": "060013678",
"telephone_number": "860-673-2581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 WEST AVON ROAD",
"city": "AVON",
"state": "CT",
"postal_code": "06001",
"telephone_number": "860-673-2581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSEY",
"first_name": "DAWN",
"middle_name": "MARIE",
"credential": "NP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-21",
"last_updated": "2012-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "004309",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1528389962",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Avon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.