Active NPI
Nancy H Lindberg, MD
- Family Medicine Physician
- Enfield, CT
National Provider Identifier
1548295827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 031577
- Practice address
- 113 Elm St
Suite 302
Enfield, CT 06082-3700 - Phone
- (860) 741-3069
- Fax
- (860) 745-3864
- NPI assigned
- Jul 12, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 031577 | CT | Primary |
Addresses
Primary practice location
113 Elm St
Suite 302
Enfield, CT 06082-3700
Mailing address
113 Elm St
Suite 302
Enfield, CT 06082-3700
Phone (860) 741-3069
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080135197 | Other | CT | RAILROAD MEDICARE |
| 1548295827 | 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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 031577 | CT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Physician Services PC | Family Medicine | Past | Accepting new patients |
| Health One Physician Associates LLC | Family Medicine | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hartford Medical Group
- Internal Medicine Physician
- Hartford, CT
- NPI 1164404117
Family Medicine
-
- Family Medicine Physician
- Windsor, CT
- NPI 1558477901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230854400000",
"number": "1548295827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 ELM ST",
"address_2": "SUITE 302",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060823700",
"telephone_number": "860-741-3069",
"fax_number": "860-745-3864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 ELM ST",
"address_2": "SUITE 302",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060823700",
"telephone_number": "860-741-3069",
"fax_number": "860-745-3864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDBERG",
"first_name": "NANCY",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2009-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "031577",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080135197",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1548295827",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Enfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.