Active NPI
Ashlee Mattutini, APRN
- Family Nurse Practitioner
- Stratford, CT
National Provider Identifier
1588733356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 003514
- Practice address
- 2900 Main St
Suite 3C
Stratford, CT 06614-4946 - Phone
- (203) 378-3080
- Fax
- (203) 377-3897
- NPI assigned
- Nov 7, 2006
- Last updated
- May 31, 2013
- 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 Nurse Practitioner | 363LF0000X | 003514 | CT | Primary |
Addresses
Primary practice location
2900 Main St
Suite 3C
Stratford, CT 06614-4946
Mailing address
2900 Main St
Suite 3C
Stratford, CT 06614-4946
Phone (203) 378-3080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004267383 | 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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003514 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Pediatric Medicine | Family | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369958400000",
"number": "1588733356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 MAIN ST",
"address_2": "SUITE 3C",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066144946",
"telephone_number": "203-378-3080",
"fax_number": "203-377-3897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 MAIN ST",
"address_2": "SUITE 3C",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066144946",
"telephone_number": "203-378-3080",
"fax_number": "203-377-3897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTUTINI",
"first_name": "ASHLEE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2013-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "003514",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004267383",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stratford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.