Individual provider Active NPI

Carolyn Elizabeth Considine, APRN, DNP, FNP-BC

  • Family Nurse Practitioner
  • West Hartford, CT
National Provider Identifier
1619400504
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12.006888 Issued in CT
Practice address
1216 Farmington Ave
West Hartford, CT 06107-2672
Phone
(860) 561-1007
NPI assigned
Apr 6, 2017
Last updated
Apr 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12.006888 CT Primary

Addresses

Primary practice location

1216 Farmington Ave
West Hartford, CT 06107-2672

Mailing address

1180 Farmington Ave
West Hartford, CT 06107-1607
Phone (203) 536-0666

Other names 1

  • Carolyn Elizabeth Segerdell Former name

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
I20201023000102 CT Practitioner - Nurse Practitioner 3072933407 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6888CTMDPharmacist
12.006888CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
David J Domenichini MD, PC CurrentSince Jun 3, 2020 Accepting new patients
Mandell & Blau, MD's PC Past Accepting new patients

Locations

701 Cottage Grove Rd
Ste B220
Bloomfield, CT 06002
Phone (860) 769-9866

Interoperability endpoints

  • Direct secure messaging: carolyn.considine.1@14405.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14405/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1619400504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 FARMINGTON AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071607",
            "telephone_number": "203-536-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 FARMINGTON AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072672",
            "telephone_number": "860-561-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSIDINE",
        "first_name": "CAROLYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "APRN, DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12.006888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "SEGERDELL",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.