Active NPI
Kuljit Kaur, APRN
- Family Nurse Practitioner
- Uncasville, CT
National Provider Identifier
1659026342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2021210167
- 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, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021210167 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Connecticut Nephrology Associates PC | Single Specialty | Current | Accepting new patients |
| Southeastern CT Nephrology Assoc. | Single Specialty | Past | Accepting new patients |
Locations
88 Norwich New London Tpke
Ste 2
Uncasville, CT 06382
Phone (860) 367-0087
Interoperability endpoints
- 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.
-
- Nephrology Physician
- Uncasville, CT
- NPI 1619031796
Single Specialty
-
- Adult Health Nurse Practitioner
- Uncasville, CT
- NPI 1821426099
Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.