Individual provider Active NPI

Reshna Thapa

  • Family Nurse Practitioner
  • Rocky Hill, CT
National Provider Identifier
1598225609
Registry record updated Mar 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8111 Issued in CT
Practice address
400 Capital Blvd
Rocky Hill, CT 06067-3576
Phone
(860) 221-0255
NPI assigned
Mar 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8111 CT Primary

Addresses

Primary practice location

400 Capital Blvd
Rocky Hill, CT 06067-3576

Mailing address

400 Capital Blvd
Rocky Hill, CT 06067-3576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, GA, ME, DC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20190614002381 CT Practitioner - Nurse Practitioner 8820321383
I20210804003172 GA Practitioner - Nurse Practitioner 8820321383 Reassigns benefits to 2 organizations
I20241226000316 ME Practitioner - Nurse Practitioner 8820321383 Reassigns benefits to 1 organization
I20251020002196 DC Practitioner - Nurse Practitioner 8820321383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12900 Park Plaza Dr
Suite 150
Cerritos, CA 90703-9329

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pruitthealth Physicians Services, LLC Family CurrentSince Jul 1, 2021 Accepting new patients

Locations

1000 Briarcliff Rd NE
Atlanta, GA 30306
Phone (404) 875-4890

1626 Jeurgens Ct
Norcross, GA 30093
Phone (770) 806-6875

Interoperability endpoints

  • Direct secure messaging: rthapa21243@carelonhealth.direct-ci.com

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": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553299200000",
    "number": "1598225609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CAPITAL BLVD",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CAPITAL BLVD",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673576",
            "telephone_number": "860-221-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAPA",
        "first_name": "RESHNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-23",
        "last_updated": "2019-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

Verify at the official NPI Registry.