Individual provider Active NPI

Audrey C Bregante, APRN RN NP

  • Pediatric Nurse Practitioner
  • Norwalk, CT
National Provider Identifier
1609967496
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
002826 Issued in CT
Practice address
148 East Avenue
Suite 3G
Norwalk, CT 06851
Phone
(203) 838-4034
Fax
(203) 853-6361
NPI assigned
Sep 27, 2006
Last updated
Jun 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 002826 CT Primary

Addresses

Primary practice location

148 East Avenue
Suite 3G
Norwalk, CT 06851

Mailing address

148 East Avenue
Suite 3G
Norwalk, CT 06851
Phone (203) 838-4034

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070105000001 CT Practitioner - Nurse Practitioner 2264432871 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2826CTMDRegistered Dietitian
002826CTMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield County Allergy Asthma & Immunology Associates PC CurrentSince Feb 28, 2010 Accepting new patients

Locations

148 East Ave
Ste 3G
Norwalk, CT 06851
Phone (203) 838-4034

Interoperability endpoints

  • Direct secure messaging: abregante42927@direct.ynhh.org

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1609967496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 EAST AVENUE",
            "address_2": "SUITE 3G",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "06851",
            "telephone_number": "203-838-4034",
            "fax_number": "203-853-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 EAST AVENUE",
            "address_2": "SUITE 3G",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "06851",
            "telephone_number": "203-838-4034",
            "fax_number": "203-853-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREGANTE",
        "first_name": "AUDREY",
        "middle_name": "C",
        "credential": "APRN RN NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "002826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.