Mary Catherine Egan Mieczkowski, APRN PNP BC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

002742 Issued in CT

Practice address

1301 Farmington Ave
Bristol, CT 06010-4776

Phone

(860) 589-4501

Fax

(860) 589-4502

NPI assigned

Jul 8, 2008

Last updated

Oct 9, 2020By 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)

Not enrolled

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.

• The Pediatric Care Center, LLC

  • Pediatrics Physician
  • Bristol, CT
  • NPI 1902357163
  NPD (past)

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1679736870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 FARMINGTON AVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104776",
            "telephone_number": "860-589-4501",
            "fax_number": "860-589-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 FARMINGTON AVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104776",
            "telephone_number": "860-589-4501",
            "fax_number": "860-589-4502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 Babcock Street",
            "address_2": "Maria Colon Sanchez Elementary School School Based Heal",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "06106",
            "country_code": "US",
            "telephone_number": "860-695-4940 x54963",
            "fax_number": "860-560-3493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIECZKOWSKI",
        "first_name": "MARY CATHERINE",
        "middle_name": "EGAN",
        "name_prefix": "Ms.",
        "credential": "APRN PNP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "002742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Legeyt MD LLC (Connecticut Hand Specialists)
• Michael R Marcotte
• Danielle Sara Michaud
• Nicole Michaud
• Jayme Leigh Mickelson, D.O.
• Stephanie Milan
• Danielle Miliard, LMFTA
• Amie Miron, PMHNP
• Misfit Mamas, Inc.
• Mlthompson Counseling

• Pediatric Nurse Practitioner in Bristol, CT
• Providers in Bristol, CT by specialty
• Pediatric Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.