Organization Active NPI

J H Dee MSN FNP LLC

  • Primary Care Clinic/Center
  • Berlin, CT
National Provider Identifier
1740876556
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
J H DEE MSN FNP LLC
Practice address
150 Episcopal Rd
Berlin, CT 06037-1525
Phone
(860) 798-2614
Fax
(860) 467-4612
NPI assigned
Dec 15, 2020
Last updated
Sep 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Mrs. Juanita Dee, APRNNPI 1609344480
Title
Owner
Phone
(860) 798-2614

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary
Family Nurse Practitioner 363LF0000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU

Addresses

Primary practice location

150 Episcopal Rd
Berlin, CT 06037-1525

Mailing address

150 Episcopal Rd
Berlin, CT 06037-1525
Phone (860) 798-2614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240423001537 CT Part B Supplier - Clinic/Group Practice 0345659223 Receives reassigned benefits from 1 practitioner
Practice locations: Wallingford, CT

National Provider Directory

National Provider Directory

Locations

850 N Main Street Ext
Wallingford, CT 06492
Phone (203) 265-3790

850 N Main Street Ext
Fl 2
Wallingford, CT 06492
Phone (860) 384-4495

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1740876556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 EPISCOPAL RD",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060371525",
            "telephone_number": "860-798-2614",
            "fax_number": "860-467-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 EPISCOPAL RD",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060371525",
            "telephone_number": "860-798-2614",
            "fax_number": "860-467-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J H DEE MSN FNP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "DEE",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-798-2614",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.