Active NPI
Elizabeth H Anderson, A.P.R.N.
- Nurse Practitioner
- Hartford, CT
National Provider Identifier
1669649588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 001869
- Practice address
- 67 Brownell Ave
Hartford, CT 06106-3302 - Phone
- (860) 244-3876
- NPI assigned
- May 9, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 001869 | CT | |
| Nurse Practitioner | 363L00000X | 001869 | CT | Primary |
Addresses
Primary practice location
67 Brownell Ave
Hartford, CT 06106-3302
Mailing address
205 Vernon Avenue
#163
Vernon, CT 06066
Phone (860) 454-4793
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001869 | CT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265760000000",
"number": "1669649588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 VERNON AVENUE",
"address_2": "#163",
"city": "VERNON",
"state": "CT",
"postal_code": "06066",
"telephone_number": "860-454-4793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 BROWNELL AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063302",
"telephone_number": "860-244-3876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "ELIZABETH",
"middle_name": "H",
"credential": "A.P.R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-09",
"last_updated": "2010-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CT",
"license": "001869",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "001869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.