Individual provider Active NPI

Kristen Haney, APRN

  • Family Nurse Practitioner
  • Manchester, CT
National Provider Identifier
1700262409
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6191 Issued in CT
Practice address
370 Middle Tpke W
Manchester, CT 06040
Phone
(860) 650-3848
NPI assigned
Aug 4, 2015
Last updated
Mar 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 355192 NY
Family Nurse Practitioner 363LF0000X RN2376884 MA
Family Nurse Practitioner 363LF0000X 6191 CT Primary

Addresses

Primary practice location

370 Middle Tpke W
Manchester, CT 06040

Mailing address

31 Old Route 7
Brookfield, CT 06804-1711
Phone (860) 650-3848

Other practice location 1

55 Hazard Ave
Enfield, CT 06082-3826
Phone (475) 253-2599

Other practice location 2

80 Route 6 Ste 704-705
Baldwin Place, NY 10505-1026
Phone (474) 253-2599

Other practice location 3

31 Old Route 7
Brookfield, CT 06804-1711
Phone (475) 253-2599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170814001760 CT Practitioner - Nurse Practitioner 0749587418 Reassigns benefits to 2 organizations
I20230310000743 MA Practitioner - Nurse Practitioner 0749587418 Reassigns benefits to 2 organizations
I20241122002093 NY Practitioner - Nurse Practitioner 0749587418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urgent Care Medical Associates, LLCGroup PAC ID 7214107515, 113 clinicians
Urgent Care Medical of New York LLCGroup PAC ID 5890071443, 40 clinicians

Practice addresses (Care Compare)

370 Middle Tpke W
Manchester, CT 06040-3824
Phone (860) 650-3848

80 Route 6
Suite 704 705
Baldwin Place, NY 10505-1026
Phone (860) 650-3848

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6191CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tristan Medical PC Current Accepting new patients
Urgent Care Medical of New York, LLC CurrentSince Sep 21, 2024 Accepting new patients
Dispatchhealth Massachusetts PC CurrentSince Mar 1, 2023 Accepting new patients
Urgent Care Medical Associates of Massachusetts, LLC CurrentSince Oct 5, 2023 Accepting new patients
Prohealth Physicians PC Family CurrentSince Apr 29, 2019 Accepting new patients
Dispatchhealth NV Wagner PC Past Accepting new patients
WRK Ventures, LLC Past Accepting new patients
True North Health Navigation LLC Past Accepting new patients
Excella Home Health Agency, LLC PastSince Mar 1, 2023 Accepting new patients

Locations

31 Old Route 7
Brookfield, CT 06804
Phone (203) 262-1911

515 Middle Tpke W
Manchester, CT 06040
Phone (860) 533-4176

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

1340 Belmont St
Brockton, MA 02301
Phone (508) 559-5108

1210 Boylston St
Chestnut Hill, MA 02467
Phone (617) 608-3215

1019 Trapelo Rd
Waltham, MA 02452
Phone (781) 736-1800

123 Park Ave
West Springfield, MA 01089
Phone (413) 732-8700

80 Route 6
Ste 704705
Baldwin Place, NY 10505
Phone (475) 253-2599

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3082/brand/1/csg/22/fhir/r4

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1700262409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 OLD ROUTE 7",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068041711",
            "telephone_number": "860-650-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 MIDDLE TPKE W",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "06040",
            "telephone_number": "860-650-3848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Hazard Ave",
            "address_purpose": "LOCATION",
            "city": "Enfield",
            "state": "CT",
            "postal_code": "060823826",
            "country_code": "US",
            "telephone_number": "475-253-2599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Route 6 Ste 704-705",
            "address_purpose": "LOCATION",
            "city": "Baldwin Place",
            "state": "NY",
            "postal_code": "105051026",
            "country_code": "US",
            "telephone_number": "474-253-2599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 Old Route 7",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "CT",
            "postal_code": "068041711",
            "country_code": "US",
            "telephone_number": "475-253-2599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANEY",
        "first_name": "KRISTEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-04",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "355192",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2376884",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "6191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.