Individual provider Active NPI

Prim Kasabiiti, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Southington, CT
National Provider Identifier
1750854402
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8037 Issued in CT
Practice address
1115 West St
Southington, CT 06489-6025
Phone
(860) 276-6099
Fax
(860) 276-6062
NPI assigned
Jan 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8037 CT Primary

Addresses

Primary practice location

1115 West St
Southington, CT 06489-6025

Mailing address

263 Farmington Ave
Farmington, CT 06030-8082
Phone (860) 276-6099

Other practice location 1

2390 State St # 8F
Hamden, CT 06517-3716
Phone (203) 430-6610

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
I20190308002208 CT Practitioner - Nurse Practitioner 5496094468 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Connecticut Health CenterGroup PAC ID 3678472016, 624 clinicians

Practice addresses (Care Compare)

263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-3692

Hospital & facility affiliations

  • John Dempsey Hospital of the University of Connect Hospital, Farmington, CT, CCN 070036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Jan 20, 2020 Accepting new patients
University of Connecticut Health Center CurrentSince Feb 11, 2024 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Jan 20, 2020 Accepting new patients
South-West Community Health Center, Inc CurrentSince Dec 21, 2020 Accepting new patients
University of Connecticut Health Center CurrentSince Feb 11, 2024 Accepting new patients
University of Connecticut Health Center Past Accepting new patients
HHC Physician Services, PLLC PastSince Mar 11, 2019 Accepting new patients
Absolute Outcomes, LLC Past Accepting new patients

Locations

322 E Main St
Ste 1B
Branford, CT 06405
Phone (203) 488-7228

64 Black Rock Ave
Bridgeport, CT 06605
Phone (203) 579-5000

46 Albion St
Bridgeport, CT 06605
Phone (203) 332-3155

471 Barnum Ave
Bridgeport, CT 06608
Phone (203) 333-6864

762 Lindley St
Bridgeport, CT 06606
Phone (203) 576-5131

510 Clinton Ave
Bridgeport, CT 06605
Phone (203) 366-4000

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

800 Connecticut Blvd
Hartford, CT 06108
Phone (860) 282-3894

240 Indian River Rd
Ste A5
Orange, CT 06477
Phone (203) 799-1252

1115 West St
Southington, CT 06489
Phone (860) 276-6000

1115 West St
Ste C
Southington, CT 06489

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

Interoperability endpoints

  • Direct secure messaging: pkasabiiti76832@direct.med.uchc.edu

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1546646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1750854402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060308082",
            "telephone_number": "860-276-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 WEST ST",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064896025",
            "telephone_number": "860-276-6099",
            "fax_number": "860-276-6062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2390 State St # 8F",
            "address_purpose": "LOCATION",
            "city": "Hamden",
            "state": "CT",
            "postal_code": "065173716",
            "country_code": "US",
            "telephone_number": "203-430-6610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASABIITI",
        "first_name": "PRIM",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-05",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

Verify at the official NPI Registry.