Individual provider Active NPI

Pamela M Cipriano, DNP, APRN

  • Acute Care Nurse Practitioner
  • Thomaston, CT
National Provider Identifier
1679850408
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
004854 Issued in CT
Practice address
131 Main St
Suite 101a
Thomaston, CT 06787-1747
Phone
(860) 880-2525
Fax
(860) 880-8253
NPI assigned
Nov 8, 2011
Last updated
Mar 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 004854 CT Primary
Adult Health Nurse Practitioner 363LA2200X 004854 CT

Addresses

Primary practice location

131 Main St
Suite 101a
Thomaston, CT 06787-1747

Mailing address

131 Main St
Suite 101a
Thomaston, CT 06787-1747
Phone (860) 880-2525

Other identifiers 1

IdentifierTypeStateIssuer
008037060MedicaidCT

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
I20120201000573 CT Practitioner - Nurse Practitioner 0840457974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

130 S Main St
Suite 1C
Thomaston, CT 06787-1741
Phone (860) 880-2525

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
004854CTMDProfessional Counselor
4854CTMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Connecticut Health Center Adult Health PastSince Jun 7, 2014 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pamela.cipriano@xdr.hhchealthdirect.org

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1679850408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MAIN ST",
            "address_2": "SUITE 101A",
            "city": "THOMASTON",
            "state": "CT",
            "postal_code": "067871747",
            "telephone_number": "860-880-2525",
            "fax_number": "860-880-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MAIN ST",
            "address_2": "SUITE 101A",
            "city": "THOMASTON",
            "state": "CT",
            "postal_code": "067871747",
            "telephone_number": "860-880-2525",
            "fax_number": "860-880-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIPRIANO",
        "first_name": "PAMELA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CT",
            "license": "004854",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "004854",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008037060",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomaston, CT

Sources for this page

Verify at the official NPI Registry.