Devon Michelle Kwassman, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4804 Issued in CT

Practice address

469 Migeon Ave
Community Health & Wellness Ctr. of Greater Torrington
Torrington, CT 06790-4643

Phone

(860) 489-0931

NPI assigned

Sep 15, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Charlotte Hungerford Hospital

  • General Acute Care Hospital
  • Torrington, CT
  • NPI 1629075734

  Adult Health

  Medicare reassignment NPD
• The Charlotte Hungerford Hospital

  • Psychiatric Hospital Unit
  • Torrington, CT
  • NPI 1639255870
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1619259611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 AVONWOOD RD APT A16",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060012089",
            "telephone_number": "860-550-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 MIGEON AVE",
            "address_2": "COMMUNITY HEALTH & WELLNESS CTR. OF GREATER TORRINGTON",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067904643",
            "telephone_number": "860-489-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWASSMAN",
        "first_name": "DEVON",
        "middle_name": "MICHELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "4804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004247872",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathleen Ann Krause, OTR
• Jacqueline Cordelia Kuns, LMSW
• Dana Marie Kupec, LCSW
• Charlene Kupernik
• Pimen Kurashvili
• Danielle Kyer, LCSW
• Jody Ann Labadia
• Elzbieta A Lach-Pasko, M.D.
• Peter C Laczak, LMFT
• Patricia J Lafayette, M.ED

• Adult Health Nurse Practitioner in Torrington, CT
• Providers in Torrington, CT by specialty
• Adult Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.