Individual provider Active NPI

Teresa Drako, MSN, APRN, NP-C

  • Family Nurse Practitioner
  • Waterbury, CT
National Provider Identifier
1720357676
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
004855 Issued in CT
Practice address
44 Abbott Ter
Waterbury, CT 06702-1431
Phone
(203) 755-4870
Fax
(203) 755-9016
NPI assigned
Dec 21, 2011
Last updated
Dec 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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 004855 CT Primary

Addresses

Primary practice location

44 Abbott Ter
Waterbury, CT 06702-1431

Mailing address

541 Eastern St
Apt.1
New Haven, CT 06513-1709
Phone (203) 745-8483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NH, MA3 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
I20120302000196 CT Practitioner - Nurse Practitioner 1850550302 Reassigns benefits to 2 organizations
I20231019001787 NH Practitioner - Nurse Practitioner 1850550302 Reassigns benefits to 1 organization
I20250602001073 MA Practitioner - Nurse Practitioner 1850550302 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
004855CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Medical Plus CurrentSince Dec 1, 2022 Accepting new patients
Community Care Health Network LLC CurrentSince Sep 5, 2023 Accepting new patients
Impact Health P.C. Family CurrentSince Apr 9, 2020 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

1224 Mill St
Bldg B
East Berlin, CT 06023
Phone (860) 406-4894

240 Indian River Rd
Ste C
Orange, CT 06477
Phone (203) 497-3867

3 Allied Dr
Dedham, MA 02026
Phone (404) 587-0945

1 Tara Blvd
Ste 200
Nashua, NH 03062
Phone (603) 242-2296

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

Organizations & group practices 3

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": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1720357676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 EASTERN ST",
            "address_2": "APT.1",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065131709",
            "telephone_number": "203-745-8483",
            "fax_number": "203-507-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 ABBOTT TER",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067021431",
            "telephone_number": "203-755-4870",
            "fax_number": "203-755-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKO",
        "first_name": "TERESA",
        "credential": "MSN, APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "004855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.