Active NPI
Jason Strickland, APRN
- Adult Health Nurse Practitioner
- Bristol, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 5510
- Practice address
- 22 Pine St
Suite 104
Bristol, CT 06010-6948 - Phone
- (860) 584-8291
- Fax
- (860) 584-8354
- NPI assigned
- Oct 14, 2006
- Last updated
- Apr 20, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 005510 | CT | |
| Adult Health Nurse Practitioner | 363LA2200X | 5510 | CT | Primary |
| Family Nurse Practitioner | 363LF0000X | 5510 | CT |
Addresses
Primary practice location
22 Pine St
Suite 104
Bristol, CT 06010-6948
Mailing address
22 Pine St
Suite 104
Bristol, CT 06010-6948
Phone (860) 584-8291
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568552826 | Other | CT | ANTHEM BCBS |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005510 | CT | MD | Nurse Practitioner |
| 5510 | CT | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group, Inc | Nurse Practitioner | Current | Accepting new patients |
| Prime Healthcare, PC | Nurse Practitioner | Current | Accepting new patients |
| Prime Healthcare (Sleep Lab) | Current | Accepting new patients | |
| MC Diagnostic of Connecticut, P.C. | Family | Current | Accepting new patients |
| Hartford Healthcare Medical Group Specialists, PLLC | Nurse Practitioner | Past | Accepting new patients |
| Hartford Healthcare Medical Group Specialists LLC | Past | Accepting new patients |
Locations
22 Pine St
Ste 104
Bristol, CT 06010
Phone (860) 314-2002
3514 Main St
Coventry, CT 06238
Phone (860) 298-5925
55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
30 Jordan Ln
Wethersfield, CT 06109
Phone (860) 263-0253
Interoperability endpoints
- jstrickland2389361@direct.trinity-health.org
Organizations & group practices 6
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 HealthCare Medical Group
- Surgery Physician
- Wethersfield, CT
- NPI 1043561301
Nurse Practitioner
-
- Family Nurse Practitioner
- Rocky Hill, CT
- NPI 1386821932
-
- Sleep Disorder Diagnostic Clinic/Center
- Wethersfield, CT
- NPI 1184832354
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524182400000",
"number": "1568552826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 PINE ST",
"address_2": "SUITE 104",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060106948",
"telephone_number": "860-584-8291",
"fax_number": "860-584-8354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 PINE ST",
"address_2": "SUITE 104",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060106948",
"telephone_number": "860-584-8291",
"fax_number": "860-584-8354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRICKLAND",
"first_name": "JASON",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-14",
"last_updated": "2018-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "005510",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CT",
"license": "5510",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "5510",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "1568552826",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, CT
- Georgia L. Sterpka, APRN
- Steven Hunter MD LLC
- Erica Stolarz, PA-C
- Stop and Shop Supermarket Co LLC (Stop and Shop Pharmacy #642)
- Stop and Shop Supermarket Co LLC (Stop and Shop Pharmacy #628)
- Strides in Wellness LLC
- Jenna Sugar
- Jeanine Sullivan, LCSW
- Katherine Tilley Sullivan
- Michael Richard Sundman, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.