Active NPI
Christy Socha, APRN
- Registered Nurse
- Norwich, CT
National Provider Identifier
1609849728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 002932
- Practice address
- 111 Salem Tpke
Suite 7
Norwich, CT 06360-6459 - Phone
- (860) 859-2262
- NPI assigned
- Feb 9, 2006
- Last updated
- Jul 16, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 002932 | CT | |
| Registered Nurse | 163W00000X | 002932 | CT | Primary |
Addresses
Primary practice location
111 Salem Tpke
Suite 7
Norwich, CT 06360-6459
Mailing address
111 Salem Tpke
Suite 7
Norwich, CT 06360-6459
Phone (860) 859-2262
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400002932CT01 | Other | CO | ANTHEM BCBS |
| P00306351 | Other | CT | RAILROAD |
Other names 1
- Christy Lillibridge
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Salem Tpke
Suite 7
Norwich, CT 06360-7403
Phone (860) 859-2262
111 Salem Turnpike
Suite 7
Norwich, CT 06360-7403
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002932 | CT | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Dermatology LLC | Registered Nurse | Current | Accepting new patients |
Locations
111 Salem Tpke
Ste 7
Norwich, CT 06360
Phone (860) 859-2262
Interoperability endpoints
- csocha@advdermct.emadirect.md
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": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373932800000",
"number": "1609849728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 SALEM TPKE",
"address_2": "SUITE 7",
"city": "NORWICH",
"state": "CT",
"postal_code": "063606459",
"telephone_number": "860-859-2262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 SALEM TPKE",
"address_2": "SUITE 7",
"city": "NORWICH",
"state": "CT",
"postal_code": "063606459",
"telephone_number": "860-859-2262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOCHA",
"first_name": "CHRISTY",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-09",
"last_updated": "2013-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CT",
"license": "002932",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "002932",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "400002932CT01",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00306351",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTY",
"last_name": "LILLIBRIDGE",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.