Individual provider Active NPI

Nicholas Peter Alphonso Wills, BC-HIS

  • Hearing Instrument Specialist
  • New Britain, CT
National Provider Identifier
1598313843
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
393 Issued in CT
Practice address
297 Brittany Farms Rd
New Britain, CT 06053-1124
Phone
(860) 904-0414
NPI assigned
Aug 29, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 393 CT Primary

Addresses

Primary practice location

297 Brittany Farms Rd
New Britain, CT 06053-1124

Mailing address

297C Brittany Farms Rd # RS
New Britain, CT 06053-1111
Phone (860) 904-0414

Other practice location 1

297C Brittany Farms Rd # Rs
New Britain, CT 06053-1111
Phone (860) 904-0414

Other practice location 2

297 Brittany Farms Rd Apt C
New Britain, CT 06053-1124
Phone (960) 904-0415

Other practice location 3

297C Brittany Farms Rd # Rs
New Britain, CT 06053-1111

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Homehearing@hotmail.com Health Information Exchange (HIE)
Direct Messaging Address Homehearing@hotmail.com Direct

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Home Hearing Hearing Instrument Specialist CurrentSince Sep 1, 2019 Accepting new patients

Locations

71 Raymond Rd
West Hartford, CT 06107
Phone (203) 232-4398

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": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1598313843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297C BRITTANY FARMS RD # RS",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060531111",
            "telephone_number": "860-904-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 BRITTANY FARMS RD",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060531124",
            "telephone_number": "860-904-0414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "297C Brittany Farms Rd # Rs",
            "address_purpose": "LOCATION",
            "city": "New Britain",
            "state": "CT",
            "postal_code": "060531111",
            "country_code": "US",
            "telephone_number": "860-904-0414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "297 Brittany Farms Rd Apt C",
            "address_purpose": "LOCATION",
            "city": "New Britain",
            "state": "CT",
            "postal_code": "060531124",
            "country_code": "US",
            "telephone_number": "960-904-0415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "297C Brittany Farms Rd # Rs",
            "address_purpose": "LOCATION",
            "city": "New Britain",
            "state": "CT",
            "postal_code": "060531111",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLS",
        "first_name": "NICHOLAS",
        "middle_name": "PETER ALPHONSO",
        "credential": "BC-HIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CT",
            "license": "393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Homehearing@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "Company e mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "297C Brittany Farms Rd # Rs",
            "city": "New Britain",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060531111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Homehearing@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "Business e mail address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "297C Brittany Farms Rd # Rs",
            "city": "New Britain",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060531111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.