Individual provider Active NPI

Cory Jean Arnold, APRN

  • Family Nurse Practitioner
  • Manchester, CT
National Provider Identifier
1548025752
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12889 Issued in CT
Practice address
388 W Center St
Manchester, CT 06040-4735
Phone
(860) 649-1120
NPI assigned
Feb 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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 12889 CT Primary

Addresses

Primary practice location

388 W Center St
Manchester, CT 06040-4735

Mailing address

39 Virginia Rail Dr
Marlborough, CT 06447-1158

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
I20240417001370 CT Practitioner - Nurse Practitioner 7113366634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians for Women'S Health, LLC 319 clinicians

Practice addresses (Care Compare)

103 Newtown Rd
Candlewood Center for Womens Health
Danbury, CT 06810-4195
Phone (203) 730-8789

388 W Ctr St
Manchester OBGYN Associates
Manchester, CT 06040-4735
Phone (860) 649-1120

394 W Ctr St
Manchester OBGYN Associates
Manchester, CT 06040-4735
Phone (860) 649-1120

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians for Women'S Health LLC Family CurrentSince Apr 1, 2024 Accepting new patients
North Coast Anesthesia LLC PastSince Jan 7, 2015 Accepting new patients

Locations

121 Broadway St
Ste 2
Colchester, CT 06415
Phone (860) 537-0900

103 Newtown Rd
Danbury, CT 06810
Phone (203) 730-8789

388 W Center St
Manchester, CT 06040
Phone (860) 645-6670

394 W Center St
Manchester, CT 06040
Phone (860) 647-7831

21 Ledgebrook Dr
Mansfield Ctr, CT 06250
Phone (860) 450-7227

175 Capital Blvd
Fl 3
Rocky Hill, CT 06067

Interoperability endpoints

  • Direct secure messaging: cory.arnold.1@10170.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1548025752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 VIRGINIA RAIL DR",
            "city": "MARLBOROUGH",
            "state": "CT",
            "postal_code": "064471158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 W CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404735",
            "telephone_number": "860-649-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "CORY",
        "middle_name": "JEAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.