Individual provider Active NPI

Mary E. Leahy, APRN

  • Family Nurse Practitioner
  • Avon, CT
National Provider Identifier
1669496113
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
002626 Issued in CT
Practice address
35 Nod Rd Ste 205
Avon, CT 06001-3826
Phone
(860) 409-1507
Fax
(860) 409-1944
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 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 002626 CT Primary

Addresses

Primary practice location

35 Nod Rd Ste 205
Avon, CT 06001-3826

Mailing address

35 Nod Rd Ste 205
Avon, CT 06001-3826
Phone (860) 409-1507

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
I20060201000160 CT Practitioner - Nurse Practitioner 3971517772 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Yale University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Afc Physicians of Connecticut PCGroup PAC ID 5193966893, 39 clinicians

Practice addresses (Care Compare)

1171 E Main St
Torrington, CT 06790-3963
Phone (860) 866-4321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002626CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Physicians, PLLC CurrentSince Aug 1, 2020 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Oct 14, 2019 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Oct 14, 2019 Accepting new patients
Afc Physicians of Connecticut, PC Current Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Dec 1, 2022 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Dec 1, 2022 Accepting new patients
Starling Physicians PLLC CurrentSince Aug 1, 2020 Accepting new patients
Collins Medical Associates 2 PC Family Past Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

35 Nod Rd
Ste 205
Avon, CT 06001
Phone (860) 409-1507

2 Main St
Danbury, CT 06810
Phone (203) 826-2140

11 South Rd
Farmington, CT 06032
Phone (860) 522-7121

95 Woodland St
Fl 1
Hartford, CT 06105
Phone (860) 714-7362

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

135 E Main St
New Britain, CT 06051
Phone (860) 357-6899

2110 Silas Deane Hwy
Rocky Hill, CT 06067

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

Organizations & group practices 9

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1669496113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 NOD RD STE 205",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013826",
            "telephone_number": "860-409-1507",
            "fax_number": "860-409-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 NOD RD STE 205",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013826",
            "telephone_number": "860-409-1507",
            "fax_number": "860-409-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAHY",
        "first_name": "MARY",
        "middle_name": "E.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "002626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

Verify at the official NPI Registry.