Individual provider Active NPI

Namuna Kharal

  • Psychiatric/Mental Health Nurse Practitioner
  • Canaan, CT
National Provider Identifier
1639900749
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
13662 Issued in CT
Practice address
99 S Canaan Rd
Canaan, CT 06018-2502
Phone
(860) 824-5137
NPI assigned
Aug 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 10.168954 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 13662 CT Primary

Addresses

Primary practice location

99 S Canaan Rd
Canaan, CT 06018-2502

Mailing address

16 Autumn CT
East Windsor, CT 06088-9777
Phone (860) 656-5262

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
I20240923003667 CT Practitioner - Nurse Practitioner 4082155676 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10.168954CTMDRegistered Nurse
13662CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care PC LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

99 S Canaan Rd
Canaan, CT 06018
Phone (860) 824-3820

111 Westcott Rd
Danielson, CT 06239
Phone (860) 774-9540

581 Poquonock Ave
Windsor, CT 06095
Phone (860) 688-7211

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Step Up Care PC LLC 176 clinicians

Practice addresses (Care Compare)

111 Westcott Rd
Danielson, CT 06239-2929
Phone (718) 298-4375

NPI Registry JSON

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

{
    "created_epoch": "1723248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1639900749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 AUTUMN CT",
            "city": "EAST WINDSOR",
            "state": "CT",
            "postal_code": "060889777",
            "telephone_number": "860-656-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 S CANAAN RD",
            "city": "CANAAN",
            "state": "CT",
            "postal_code": "060182502",
            "telephone_number": "860-824-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHARAL",
        "first_name": "NAMUNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-10",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "10.168954",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "13662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canaan, CT

Sources for this page

Verify at the official NPI Registry.