Individual provider Active NPI

Kate Rooney, APRN

  • Primary Care Nurse Practitioner
  • Waterbury, CT
National Provider Identifier
1558880435
Registry record updated Sep 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
7172 Issued in CT
Practice address
969 W Main St
Waterbury, CT 06708-2653
Phone
(203) 752-2856
Fax
(203) 752-8785
NPI assigned
Sep 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 7172 CT Primary

Addresses

Primary practice location

969 W Main St
Waterbury, CT 06708-2653

Mailing address

345 Whitney Ave
New Haven, CT 06511-2348
Phone (203) 752-2856

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
I20180501002340 CT Practitioner - Nurse Practitioner 7416211362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Planned Parenthood of Southern New England IncGroup PAC ID 3173436730, 41 clinicians

Practice addresses (Care Compare)

1548 Main St
Willimantic, CT 06226-1142
Phone (860) 423-8426

26 Womens Way
Meriden, CT 06451-3237
Phone (203) 238-0542

345 Whitney Ave
New Haven, CT 06511-2348
Phone (203) 503-0450

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Southern New England, Inc. CurrentSince Jan 5, 2018 Accepting new patients
Planned Parenthood of CT, Inc Past Accepting new patients

Locations

26 Womens Way
Meriden, CT 06451
Phone (203) 238-0542

345 Whitney Ave
New Haven, CT 06511
Phone (203) 503-0450

467 Ocean Ave
New London, CT 06320
Phone (860) 228-3888

969 W Main St
Waterbury, CT 06708
Phone (203) 206-2124

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": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505174400000",
    "number": "1558880435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 WHITNEY AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112348",
            "telephone_number": "203-752-2856",
            "fax_number": "203-752-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082653",
            "telephone_number": "203-752-2856",
            "fax_number": "203-752-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROONEY",
        "first_name": "KATE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2017-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CT",
            "license": "7172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.