Komal Dilipkumar Patel, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

7653 Issued in CT

Practice address

111 Goose LN Ste 1300
Guilford, CT 06437-5101

Phone

(203) 453-9192

Fax

(203) 453-0875

NPI assigned

Jan 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1740647676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 STATE ST APT 305",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112769",
            "telephone_number": "704-965-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 GOOSE LN STE 1300",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064375101",
            "telephone_number": "203-453-9192",
            "fax_number": "203-453-0875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Indian River Rd Ste A1",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CT",
            "postal_code": "064773690",
            "country_code": "US",
            "telephone_number": "203-795-1664",
            "fax_number": "203-795-1665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5200 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752357709",
            "country_code": "US",
            "telephone_number": "214-590-1396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 York St",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065103220",
            "country_code": "US",
            "telephone_number": "203-688-4242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Kennedy Dr",
            "address_purpose": "LOCATION",
            "city": "Torrington",
            "state": "CT",
            "postal_code": "067903096",
            "country_code": "US",
            "telephone_number": "860-482-5384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1075 Chase Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067082948",
            "country_code": "US",
            "telephone_number": "203-755-6311",
            "fax_number": "203-755-6263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Seymour Ave Ste 6",
            "address_purpose": "LOCATION",
            "city": "Derby",
            "state": "CT",
            "postal_code": "064181336",
            "country_code": "US",
            "telephone_number": "203-734-1664",
            "fax_number": "203-734-1665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Devine St",
            "address_purpose": "LOCATION",
            "city": "North Haven",
            "state": "CT",
            "postal_code": "064732195",
            "country_code": "US",
            "telephone_number": "203-407-8002",
            "fax_number": "203-407-8038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KOMAL",
        "middle_name": "DILIPKUMAR",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-22",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "7653",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "7653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Guilford, CT
• Providers in Guilford, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.