Active NPI
Nicole Marie Ferretti, APRN, RN, RD
- Pediatric Nurse Practitioner
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 7767
- Practice address
- 20 York St
New Haven, CT 06510 - Phone
- (203) 688-5010
- NPI assigned
- Aug 1, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 001071 | CT | |
| Registered Nurse | 163W00000X | 127698 | CT | |
| Pediatric Nurse Practitioner | 363LP0200X | 7767 | CT | Primary |
Addresses
Primary practice location
20 York St
New Haven, CT 06510
Mailing address
15 Orange St Apt 217
New Haven, CT 06510-3344
Phone (203) 509-2512
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127698 | CT | MD | Registered Nurse |
| 001071 | CT | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospect CT Medical Foundation, Inc. | Registered Nurse | Current | Accepting new patients |
| Yale University | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients |
Locations
1801 W Olympic Blvd
#2201
Pasadena, CA 91199
71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981
18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610
20 York St
North Haven, CT 06510
Phone (203) 688-2433
1 Park St
North Haven, CT 06504
Phone (203) 785-4643
64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142
Interoperability endpoints
- nsamela22362@direct.ynhh.org
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Manchester, CT
- NPI 1144677568
Registered Nurse
-
- Anesthesiology Physician
- New Haven, CT
- NPI 1205822236
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1730435355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 ORANGE ST APT 217",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103344",
"telephone_number": "203-509-2512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 YORK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06510",
"telephone_number": "203-688-5010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRETTI",
"first_name": "NICOLE",
"middle_name": "MARIE",
"credential": "APRN, RN, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-01",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CT",
"license": "001071",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "127698",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CT",
"license": "7767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.