Individual provider Active NPI

Camille A Weis, APRN

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Norwalk, CT
National Provider Identifier
1750345393
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
000316 Issued in CT
Practice address
71 East Ave
Suite V
Norwalk, CT 06851-4903
Phone
(203) 656-1452
Fax
(203) 656-1485
NPI assigned
Apr 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 000316 CT
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 000316 CT Primary

Addresses

Primary practice location

71 East Ave
Suite V
Norwalk, CT 06851-4903

Mailing address

71 East Ave
Ste H
Norwalk, CT 06851-4903
Phone (203) 656-1452

Other identifiers 1

IdentifierTypeStateIssuer
004242400MedicaidCT

Other names 1

  • Camille Armanini Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040421000789 CT Practitioner - Nurse Practitioner 0648266122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shoreline Psychiatry of Western Connecticut LLCGroup PAC ID 9133228695, 6 clinicians

Practice addresses (Care Compare)

71 E Ave
Suite V
Norwalk, CT 06851-4903
Phone (203) 656-1452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shoreline Psychiatry of Western Connecticut, LLC CurrentSince May 1, 2010 Accepting new patients
Hartford Physician Services PC Nurse Practitioner Past Accepting new patients

Locations

50 Glenville St
Greenwich, CT 06831
Phone (203) 656-1452

71 East Ave
Ste V
Norwalk, CT 06851
Phone (203) 656-1452

71 East Ave
Ste H
Norwalk, CT 06851
Phone (203) 656-1452

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1750345393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 EAST AVE",
            "address_2": "STE H",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514903",
            "telephone_number": "203-656-1452",
            "fax_number": "203-656-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 EAST AVE",
            "address_2": "SUITE V",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514903",
            "telephone_number": "203-656-1452",
            "fax_number": "203-656-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIS",
        "first_name": "CAMILLE",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "000316",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "CT",
            "license": "000316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004242400",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMILLE",
            "last_name": "ARMANINI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.