Individual provider Active NPI

Josie C Dumond, NP-C

  • Family Nurse Practitioner
  • Avon, CT
National Provider Identifier
1548873177
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8009 Issued in CT
Practice address
358 W Main St
Avon, CT 06001-3643
Phone
(860) 678-8605
NPI assigned
Aug 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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 8009 CT Primary

Addresses

Primary practice location

358 W Main St
Avon, CT 06001-3643

Mailing address

44 Cherry Hill Dr
Newington, CT 06111-1006
Phone (860) 593-9384

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
I20201210002429 CT Practitioner - Nurse Practitioner 7618389966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OBGYN Group of Eastern Connecticut PCGroup PAC ID 2769370352, 12 clinicians

Practice addresses (Care Compare)

2600 Tamarack Ave
Suite 200
South Windsor, CT 06074-5560
Phone (860) 646-1157

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8009CTMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
OBGYN Group of Eastern Connecticut, P.C. CurrentSince Oct 30, 2020 Accepting new patients

Locations

622 Hebron Ave
Ste 104A
Glastonbury, CT 06033
Phone (860) 646-1157

2600 Tamarack Ave
#200
South Windsor, CT 06074
Phone (860) 646-1157

Interoperability endpoints

  • Direct secure messaging: josie.dumond.1@27673.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1548873177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 CHERRY HILL DR",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061111006",
            "telephone_number": "860-593-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 W MAIN ST",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013643",
            "telephone_number": "860-678-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMOND",
        "first_name": "JOSIE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

Verify at the official NPI Registry.