Individual provider Active NPI

Aida Koni, APRN FNP

  • Family Nurse Practitioner
  • Rocky Hill, CT
National Provider Identifier
1659825974
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6599 Issued in CT
Practice address
53 New Britain Ave Ste 7
Rocky Hill, CT 06067-1175
Phone
(860) 436-5803
Fax
(860) 785-8343
NPI assigned
Aug 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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 6599 CT Primary

Addresses

Primary practice location

53 New Britain Ave Ste 7
Rocky Hill, CT 06067-1175

Mailing address

19 Tinsmith Xing
Wethersfield, CT 06109-1335
Phone (860) 729-8434

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
I20161121001414 CT Practitioner - Nurse Practitioner 3971882648 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

53 New Britain Ave
Suite 7
Rocky Hill, CT 06067-1175
Phone (860) 436-5803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Hospital Family CurrentSince May 6, 2019 Accepting new patients
O'Malley Chiropractic Health Center, LLC CurrentSince Oct 19, 2016 Accepting new patients
Middlesex Hospital CurrentSince May 6, 2019 Accepting new patients
Your Peace of Mind Therapeutic Services, LLC PastSince Jun 21, 2020 Accepting new patients

Locations

80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

78 Beaver Rd
Ste 1A
Wethersfield, CT 06109
Phone (860) 257-9400

Interoperability endpoints

  • Direct secure messaging: aida.koni.1@20770.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1659825974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 TINSMITH XING",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091335",
            "telephone_number": "860-729-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 NEW BRITAIN AVE STE 7",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671175",
            "telephone_number": "860-436-5803",
            "fax_number": "860-785-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONI",
        "first_name": "AIDA",
        "name_prefix": "Mrs.",
        "credential": "APRN FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "6599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

Verify at the official NPI Registry.