Individual provider Active NPI

Heather McHugh, APRN

  • Nurse Practitioner
  • Glastonbury, CT
National Provider Identifier
1588056790
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
6058 Issued in CT
Practice address
95 Glastonbury Blvd Ste 202
Glastonbury, CT 06033-4456
Phone
(860) 365-2840
Fax
(860) 652-9645
NPI assigned
Feb 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 6058 CT
Nurse Practitioner 363L00000X 6058 CT Primary

Addresses

Primary practice location

95 Glastonbury Blvd Ste 202
Glastonbury, CT 06033-4456

Mailing address

2001 Butterfield Rd Ste 300
Downers Grove, IL 60515-1069
Phone (630) 725-2730

Other identifiers 1

IdentifierTypeStateIssuer
6058OtherCTAPRN LICENSE 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

State licenses

LicenseStateTypeSpecialty
6058CTMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wilton Vascular Medical Group PC PastSince Sep 25, 2019 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1588056790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 300",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151069",
            "telephone_number": "630-725-2730",
            "fax_number": "844-205-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 GLASTONBURY BLVD STE 202",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334456",
            "telephone_number": "860-365-2840",
            "fax_number": "860-652-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCHUGH",
        "first_name": "HEATHER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-25",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CT",
            "license": "6058",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "6058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE CT",
            "identifier": "6058",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.