Individual provider Active NPI

Christa M Mann, APRN, FNP-C

  • Family Nurse Practitioner
  • Woodbridge, CT
National Provider Identifier
1699145789
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6296 Issued in CT
Practice address
270 Amity Rd Ste 132
Woodbridge, CT 06525-2236
Phone
(033) 186-1432
Fax
(475) 271-8574
NPI assigned
Oct 1, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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 6296 CT Primary

Addresses

Primary practice location

270 Amity Rd Ste 132
Woodbridge, CT 06525-2236

Mailing address

270 Amity Rd Ste 132
Woodbridge, CT 06525-2236
Phone (203) 318-6143

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
I20190820002212 CT Practitioner - Nurse Practitioner 3779811435 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Hartford Healthcare Urgent Care Centers LLCGroup PAC ID 7618242777, 201 clinicians

Practice addresses (Care Compare)

270 Amity Rd
Suite 132
Woodbridge, CT 06525-2236
Phone (203) 318-6143

385 W Main St
Avon, CT 06001-4357
Phone (860) 777-6977

Hospital & facility affiliations

  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6296CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Urgent Care Centers, LLC CurrentSince Aug 15, 2024 Accepting new patients

Locations

385 W Main St
Avon, CT 06001
Phone (860) 777-1280

1025 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 696-2296

Interoperability endpoints

  • Direct secure messaging: christa.mann@ghcnow.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DHHFDD/Endpoint/DHHFDD

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 and National Provider Directory roles.

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": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1699145789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 AMITY RD STE 132",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252236",
            "telephone_number": "203-318-6143",
            "fax_number": "475-271-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 AMITY RD STE 132",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252236",
            "telephone_number": "033-186-1432",
            "fax_number": "475-271-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "CHRISTA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-01",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "6296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, CT

Sources for this page

Verify at the official NPI Registry.