Organization Active NPI

Rheumatology Center

  • Community Health Nurse Practitioner
  • Bridgeport, CT
National Provider Identifier
1730841834
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
Legal business name
RHEUMATOLOGY CENTER
Practice address
3203 Main St
Bridgeport, CT 06606-4225
Phone
(203) 371-0009
Fax
(203) 371-0091
NPI assigned
Oct 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Authorized official

Name
Sarena Kelly, APRNNPI 1124392352
Title
Owner
Phone
(203) 371-0009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LC1500X Primary

Addresses

Primary practice location

3203 Main St
Bridgeport, CT 06606-4225

Mailing address

3203 Main St
Bridgeport, CT 06606-4225
Phone (203) 371-0009

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1730841834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064225",
            "telephone_number": "203-371-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064225",
            "telephone_number": "203-371-0009",
            "fax_number": "203-371-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEUMATOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "SARENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-371-0009",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.