Individual provider Active NPI

Beth Zagorski

  • General Practice Registered Nurse
  • New Britain, CT
National Provider Identifier
1629509484
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
091146 Issued in CT
Practice address
75 North Mountain Rd
New Britain, CT 06053
Phone
(860) 929-7780
NPI assigned
Mar 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 091146 CT Primary

Addresses

Primary practice location

75 North Mountain Rd
New Britain, CT 06053

Mailing address

75 North Mountain Rd.
Wheeler Clinic Health and Wellness
New Britain, CT 06053
Phone (860) 929-7780

Other names 1

  • Beth Mosley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
091146CTMDGeneral Practice Registered Nurse

Interoperability endpoints

  • Direct secure messaging: beth.zagorski.p1@direct.wheelerclinic.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1629509484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 NORTH MOUNTAIN RD.",
            "address_2": "WHEELER CLINIC HEALTH AND WELLNESS",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "06053",
            "telephone_number": "860-929-7780",
            "fax_number": "860-229-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 NORTH MOUNTAIN RD",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "06053",
            "telephone_number": "860-929-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGORSKI",
        "first_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CT",
            "license": "091146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "MOSLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Britain, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.