Individual provider Active NPI

Stephanie Gabrielle Proano, APRN

  • Family Nurse Practitioner
  • Manchester, CT
National Provider Identifier
1609744853
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15444 Issued in CT
Practice address
29 Haynes St Ste D
Manchester, CT 06040-4139
Phone
(860) 649-7557
NPI assigned
Oct 28, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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 15444 CT Primary

Addresses

Primary practice location

29 Haynes St Ste D
Manchester, CT 06040-4139

Mailing address

29 Haynes St Ste D
Manchester, CT 06040-4139
Phone (860) 649-7557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15444CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fig Health Pediatrics LLC CurrentSince Nov 8, 2025 Accepting new patients

Locations

2928 Main St
Ste 10
Glastonbury, CT 06033
Phone (860) 375-5088

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23873/brand/1/csg/1/fhir/r4

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": "1761609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1609744853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 HAYNES ST STE D",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404139",
            "telephone_number": "860-649-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 HAYNES ST STE D",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404139",
            "telephone_number": "860-649-7557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROANO",
        "first_name": "STEPHANIE",
        "middle_name": "GABRIELLE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-28",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "15444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.