Active NPI
Brenna Roohr, APRN
- Adult Health Nurse Practitioner
- Monroe, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 005141
- Practice address
- 324 Elm St Ste 202B
Monroe, CT 06468 - Phone
- (203) 212-4432
- Fax
- (203) 907-1234
- NPI assigned
- Sep 28, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 005141 | CT | |
| Adult Health Nurse Practitioner | 363LA2200X | 005141 | CT | Primary |
Addresses
Primary practice location
324 Elm St Ste 202B
Monroe, CT 06468
Mailing address
324 Elm St Ste 202B
Monroe, CT 06468-2284
Phone (203) 212-4432
Other practice location 1
324 Elm St Ste 202B
Monroe, CT 06468
Phone (203) 212-4432
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5141 | CT | MD | Surgical Physician Assistant |
| 005141 | CT | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthdrive Medical Services Southeast LLC | Nurse Practitioner | Current | Accepting new patients |
| Careconnectmd Connecticut PC | Current | Accepting new patients | |
| HDC Care Solutions, LLC | Nurse Practitioner | Current | Accepting new patients |
| Value Based Long Term Care H PC | Current | Accepting new patients | |
| Absolute Outcomes, LLC | Past | Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
101 Centerpoint Dr
Ste 215
Middletown, CT 06457
Phone (203) 696-3550
5 Research Dr
Shelton, CT 06484
Phone (203) 567-5264
1266 E Main St
Stamford, CT 06902
Phone (203) 276-3000
Organizations & group practices 5
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Stamford, CT
- NPI 1467187336
-
- Geriatric Medicine (Internal Medicine) Physician
- Framingham, MA
- NPI 1134951676
CT
-
- Internal Medicine Physician
- Monroe, CT
- NPI 1073746202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541376000000",
"number": "1598016644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 ELM ST STE 202B",
"city": "MONROE",
"state": "CT",
"postal_code": "064682284",
"telephone_number": "203-212-4432",
"fax_number": "203-907-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 ELM ST STE 202B",
"city": "MONROE",
"state": "CT",
"postal_code": "06468",
"telephone_number": "203-212-4432",
"fax_number": "203-907-1234"
}
],
"practiceLocations": [
{
"address_1": "324 Elm St Ste 202B",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "CT",
"postal_code": "06468",
"country_code": "US",
"telephone_number": "203-212-4432",
"fax_number": "203-907-1234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROOHR",
"first_name": "BRENNA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-28",
"last_updated": "2018-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "005141",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CT",
"license": "005141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.