Individual provider Active NPI

Rachel Sarmento

  • Adult Health Nurse Practitioner
  • Shelton, CT
National Provider Identifier
1750997847
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
9202 Issued in CT
Practice address
13 Sanford Dr
Shelton, CT 06484-5507
Phone
(860) 202-5893
NPI assigned
Sep 23, 2020
Last updated
Sep 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 9202 CT Primary
Gerontology Nurse Practitioner 363LG0600X 9202 CT

Addresses

Primary practice location

13 Sanford Dr
Shelton, CT 06484-5507

Mailing address

13 Sanford Dr
Shelton, CT 06484-5507
Phone (860) 202-5893

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
I20241002000839 CT Practitioner - Nurse Practitioner 5890226831 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9202CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Value Based Long Term Care H PC CurrentSince May 1, 2025 Accepting new patients
Matrix Medical Plus CurrentSince Sep 1, 2025 Accepting new patients
Healthdrive Medical Services Southeast LLC Adult Health CurrentSince Aug 1, 2025 Accepting new patients
Careconnectmd Connecticut PC CurrentSince Aug 23, 2024 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

1224 Mill St
Bldg B
East Berlin, CT 06023
Phone (860) 406-4894

101 Centerpoint Dr
Ste 215
Middletown, CT 06457
Phone (203) 696-3550

5 Research Dr
Shelton, CT 06484
Phone (203) 567-5264

1266 E Main St
Stamford, CT 06902
Phone (203) 276-3000

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1750997847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 SANFORD DR",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064845507",
            "telephone_number": "860-202-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 SANFORD DR",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064845507",
            "telephone_number": "860-202-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARMENTO",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "9202",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CT",
            "license": "9202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

Verify at the official NPI Registry.