Individual provider Active NPI

Kirstin Anastasia, APRN, BC

  • Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
  • Fairfield, CT
National Provider Identifier
1639203979
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0807X
License
003230 Issued in CT
Practice address
1901 Post Rd # B
Fairfield, CT 06824-5721
Phone
(203) 254-9214
NPI assigned
Mar 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X 003230 CT Primary

Addresses

Primary practice location

1901 Post Rd # B
Fairfield, CT 06824-5721

Mailing address

245 Unquowa Rd
Unit 92
Fairfield, CT 06824-5057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230906000639 FL Practitioner - Nurse Practitioner 6002279262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Florida Psychiatry Associates LLCGroup PAC ID 0345404166, 6 clinicians

Practice addresses (Care Compare)

260 NW Peacock Blvd
Suite 102
Port Saint Lucie, FL 34986-2349
Phone (772) 878-7216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003230CTMDChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist

Organizations & group practices 1

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639203979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 UNQUOWA RD",
            "address_2": "UNIT 92",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 POST RD # B",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245721",
            "telephone_number": "203-254-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANASTASIA",
        "first_name": "KIRSTIN",
        "credential": "APRN, BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "CT",
            "license": "003230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

Verify at the official NPI Registry.