Active NPI
Manchester Medical Associates PC
- Nurse Practitioner
- Manchester, CT
National Provider Identifier
1619173796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 002925
- Legal business name
- MANCHESTER MEDICAL ASSOCIATES PC
- Practice address
- 130 Hartford Rd
Manchester, CT 06040-5921 - Phone
- (860) 645-4150
- NPI assigned
- Jun 25, 2007
- Last updated
- Feb 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debbie Ann Girard
- Title
- Office Manager
- Phone
- (860) 645-4150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 002925 | CT | Primary |
Addresses
Primary practice location
130 Hartford Rd
Manchester, CT 06040-5921
Mailing address
130 Hartford Rd
Manchester, CT 06040-5921
Phone (860) 645-4150
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204156800000",
"number": "1619173796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 HARTFORD RD",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060405921",
"telephone_number": "860-645-4150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 HARTFORD RD",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060405921",
"telephone_number": "860-645-4150"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANCHESTER MEDICAL ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-25",
"last_updated": "2008-02-28",
"status": "A",
"authorized_official_last_name": "GIRARD",
"authorized_official_first_name": "DEBBIE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "860-645-4150"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "002925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, CT
- Manchester Family Dental LLC
- Manchester Health Center, Inc (Crestfield Rehabilitation & Fenwood Manor)
- Manchester Health Department
- Manchester Home Care LLC
- Manchester Manor SNF Operations LLC
- Manchester Medical Associates, PC
- Manchester Memorial Hospital (Manchester Memoril Hospital Psychiatric)
- Manchester Memorial Hospital
- Manchester Memorial Hospital
- Manchester Memorial Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.