Active NPI
Nancy W Baranowski, APRN
- Women's Health Nurse Practitioner
- Waterbury, CT
National Provider Identifier
1689600108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 001083
- Practice address
- 95 Scovill St
3Rd Floor
Waterbury, CT 06706-1113 - Phone
- (203) 709-6000
- NPI assigned
- Jun 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 001083 | CT | Primary |
Addresses
Primary practice location
95 Scovill St
3Rd Floor
Waterbury, CT 06706-1113
Mailing address
56 Franklin St
3Rd Floor
Waterbury, CT 06706-1221
Phone (203) 709-6000
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S77065 | Medicaid | CT | |
| 214686 | Other | CT | WELLCARE |
| 9327222 | Other | CT | AETNA |
| 400001083CT01 | Other | CT | ANTHEM BCBS CT |
| 873467 | Other | CT | USA |
| PENDING | Other | CT | RAILROAD MEDICARE |
| 004226008 | Medicaid | CT |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001083 | CT | MD | Behavioral Analyst |
| 1083 | CT | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405296000000",
"number": "1689600108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 FRANKLIN ST",
"address_2": "3RD FLOOR",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067061221",
"telephone_number": "203-709-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 SCOVILL ST",
"address_2": "3RD FLOOR",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067061113",
"telephone_number": "203-709-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARANOWSKI",
"first_name": "NANCY",
"middle_name": "W",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-25",
"last_updated": "2014-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CT",
"license": "001083",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "S77065",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "214686",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9327222",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS CT",
"identifier": "400001083CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA",
"identifier": "873467",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "PENDING",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004226008",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.