Individual provider Active NPI

Marie C Menut, RN

  • Rehabilitation Registered Nurse
  • East Hartford, CT
National Provider Identifier
1750800280
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Registered NurseTaxonomy code 163WR0400X
License
E44018 Issued in CT
Practice address
966 Tolland St
East Hartford, CT 06108-1533
Phone
(860) 508-8219
NPI assigned
Sep 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Registered Nurse 163WR0400X E44018 CT Primary

Addresses

Primary practice location

966 Tolland St
East Hartford, CT 06108-1533

Mailing address

966 Tolland St
East Hartford, CT 06108-1533
Phone (860) 508-8219

Other practice location 1

1349 Spruce St
Suffield, CT 06078-1034
Phone (860) 508-8219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
E44018CTMDRehabilitation Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750800280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 TOLLAND ST",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061081533",
            "telephone_number": "860-508-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 TOLLAND ST",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061081533",
            "telephone_number": "860-508-8219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1349 Spruce St",
            "address_purpose": "LOCATION",
            "city": "Suffield",
            "state": "CT",
            "postal_code": "060781034",
            "country_code": "US",
            "telephone_number": "860-508-8219",
            "fax_number": "860-508-8219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENUT",
        "first_name": "MARIE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "CT",
            "license": "E44018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.