Individual provider Active NPI

Tricia Rickettsfacey

  • Family Nurse Practitioner
  • Danbury, CT
National Provider Identifier
1619308475
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11183 Issued in CT
Practice address
100 Reserve Rd Ste A4
Danbury, CT 06810-5267
Phone
(203) 794-1979
NPI assigned
Dec 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1118 CT
Family Nurse Practitioner 363LF0000X 11183 CT Primary

Addresses

Primary practice location

100 Reserve Rd Ste A4
Danbury, CT 06810-5267

Mailing address

9 Spring Ridge CT
Danbury, CT 06811-3084
Phone (347) 538-4542

Other practice location 1

185 Canal St
Apt 1008
Shelton, CT 06484-8121
Phone (347) 538-4542

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
I20230222003138 CT Practitioner - Nurse Practitioner 3678946647 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Contemporary Care LLCGroup PAC ID 9537408141, 30 clinicians

Practice addresses (Care Compare)

84 Hospital Ave
Danbury, CT 06810-6047
Phone (203) 792-0400

Hospital & facility affiliations

  • Danbury Hospital Hospital, Danbury, CT, CCN 070033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Physicians PC Internal Medicine CurrentSince Jan 9, 2023 Accepting new patients
Contemporary Care, LLC CurrentSince Nov 20, 2025 Accepting new patients
Danbury Medical Group LLC Internal Medicine CurrentSince Dec 6, 2022 Accepting new patients
Contemporary Care LLC CurrentSince Nov 20, 2025 Accepting new patients

Locations

84 Hospital Ave
Danbury, CT 06810
Phone (203) 792-0400

81 Holly Hill Ln
Fl 2
Greenwich, CT 06830
Phone (203) 321-5063

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1619308475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SPRING RIDGE CT",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068113084",
            "telephone_number": "347-538-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RESERVE RD STE A4",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105267",
            "telephone_number": "203-794-1979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 Canal St",
            "address_2": "Apt 1008",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "CT",
            "postal_code": "064848121",
            "country_code": "US",
            "telephone_number": "347-538-4542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICKETTSFACEY",
        "first_name": "TRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-04",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "1118",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "11183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.