Active NPI
Ann Lorraine Hume, PA
- Pulmonary Disease Physician
- Waterbury, CT
National Provider Identifier
1710904404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 001733
- Practice address
- 170 Grandview Ave
Waterbury, CT 06708-2525 - Phone
- (203) 759-3666
- Fax
- (203) 759-3671
- NPI assigned
- Jul 17, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 001733 | CT | |
| Pulmonary Disease Physician | 207RP1001X | 001733 | CT | Primary |
Addresses
Primary practice location
170 Grandview Ave
Waterbury, CT 06708-2525
Mailing address
170 Grandview Ave
Waterbury, CT 06708-2525
Phone (203) 759-3666
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001733 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203984000000",
"number": "1710904404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 GRANDVIEW AVE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082525",
"telephone_number": "203-759-3666",
"fax_number": "203-759-3671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 GRANDVIEW AVE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082525",
"telephone_number": "203-759-3666",
"fax_number": "203-759-3671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUME",
"first_name": "ANN",
"middle_name": "LORRAINE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2008-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CT",
"license": "001733",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CT",
"license": "001733",
"primary": true
}
],
"identifiers": [],
"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 Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.