Individual provider Active NPI

Kuljit Kaur, APRN

  • Family Nurse Practitioner
  • Uncasville, CT
National Provider Identifier
1659026342
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021210167 Issued in CT
Practice address
88 Norwich New London Tpke Ste 2
Uncasville, CT 06382-2518
Phone
(860) 367-0087
NPI assigned
Feb 21, 2022
Last updated
Sep 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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 2021210167 CT Primary

Addresses

Primary practice location

88 Norwich New London Tpke Ste 2
Uncasville, CT 06382-2518

Mailing address

88 Norwich New London Tpke Ste 2
Uncasville, CT 06382-2518

Other practice location 1

4 Paula Ln
Waterford, CT 06385-1522
Phone (209) 595-8521

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
I20220610001321 CT Practitioner - Nurse Practitioner 4385022987 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021210167CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Connecticut Nephrology Associates PC Single Specialty CurrentSince May 27, 2022 Accepting new patients
Southeastern CT Nephrology Assoc. Single Specialty PastSince May 27, 2022 Accepting new patients

Locations

88 Norwich New London Tpke
Ste 2
Uncasville, CT 06382
Phone (860) 367-0087

Interoperability endpoints

  • Direct secure messaging: kkaur437756@xdr.hhchealthdirect.org

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": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1659026342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 NORWICH NEW LONDON TPKE STE 2",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "063822518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 NORWICH NEW LONDON TPKE STE 2",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "063822518",
            "telephone_number": "860-367-0087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Paula Ln",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "CT",
            "postal_code": "063851522",
            "country_code": "US",
            "telephone_number": "209-595-8521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUR",
        "first_name": "KULJIT",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-09-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "2021210167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uncasville, CT

Sources for this page

Verify at the official NPI Registry.