Kayleen Bastiaanse, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

001974 Issued in CT

Practice address

538 Litchfield St
Suite 103
Torrington, CT 06790-6669

Phone

(860) 489-5148

Fax

(860) 489-4752

NPI assigned

Aug 10, 2006

Last updated

Oct 4, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Prohealth Physicians PC

  • Family Medicine Physician
  • Farmington, CT
  • NPI 1720194053
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1669483533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FARM SPRINGS RD",
            "address_2": "PROHEALTH PHYSICIANS",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322573",
            "telephone_number": "860-284-5200",
            "fax_number": "860-284-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 LITCHFIELD ST",
            "address_2": "SUITE 103",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906669",
            "telephone_number": "860-489-5148",
            "fax_number": "860-489-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTIAANSE",
        "first_name": "KAYLEEN",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "001974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Barker
• Lisa Marie Barratt, PA-C
• Myah Bartolotta, PA
• Brynna Bascetta, APRN
• Ann N Basti
• Barbara Jean Batchelder, DMD
• Andrea M. Bates, AU.D.
• Suzanne Beach, R.D.
• Nicole Beaulieu
• Ingrid Bedinotti, PA

• Family Nurse Practitioner in Torrington, CT
• Providers in Torrington, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.