Individual provider Active NPI

Allison Leigh Conklin

  • Adult Health Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1538983481
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
14099 Issued in CT
Practice address
19 Woodland St
Hartford, CT 06105-2372
Phone
(860) 525-1234
NPI assigned
Nov 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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 14099 CT Primary

Addresses

Primary practice location

19 Woodland St
Hartford, CT 06105-2372

Mailing address

38 Cooper LN
Stafford Springs, CT 06076-1313
Phone (860) 305-1202

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
I20241216003437 CT Practitioner - Nurse Practitioner 8224564117 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)

19 Woodland St
Suite 43
Hartford, CT 06105-2335
Phone (860) 633-0500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

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

Locations

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

1699 King St
Ste 404
Enfield, CT 06082
Phone (860) 651-4358

19 Woodland St
Ste 35
Hartford, CT 06105
Phone 20321768760

19 Woodland St
Ste 45
Hartford, CT 06105
Phone (860) 527-1669

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

19 Woodland St
Hartford, CT 06105
Phone (860) 246-7273

19 Woodland St
Ste 43
Hartford, CT 06105
Phone (860) 549-4600

381 Hopmeadow St
Ste 304
Weatogue, CT 06089
Phone (860) 651-4358

Interoperability endpoints

  • Direct secure messaging: aconklin2384010@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": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1538983481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 COOPER LN",
            "city": "STAFFORD SPRINGS",
            "state": "CT",
            "postal_code": "060761313",
            "telephone_number": "860-305-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 WOODLAND ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052372",
            "telephone_number": "860-525-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "ALLISON",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "14099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.