Active NPI
Mobile Care Partners of Connecticut PLLC
- Primary Care Nurse Practitioner
- Bantam, CT
National Provider Identifier
1760001010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- MOBILE CARE PARTNERS OF CONNECTICUT PLLC
- Practice address
- 44 Luzi Dr Apt 960
Bantam, CT 06750-1619 - Phone
- (203) 500-5333
- NPI assigned
- Apr 15, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lindsey Maloney, DNP
- Title
- Owner
- Phone
- (203) 500-5333
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
44 Luzi Dr Apt 960
Bantam, CT 06750-1619
Mailing address
PO Box 960
Bantam, CT 06750-0960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200521001298 | CT | Part B Supplier - Clinic/Group Practice | 0547691834 |
Receives reassigned benefits from 4 practitioners Practice locations: Kent, CT |
National Provider Directory
National Provider DirectoryLocations
64 Maple St
Ste A
Kent, CT 06757
Phone (860) 419-5925
Interoperability endpoints
- https://api.platform.athenahealth.com/21553/brand/1/csg/1/fhir/r4
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Southbury, CT
- NPI 1548933765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677542400000",
"number": "1760001010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 960",
"city": "BANTAM",
"state": "CT",
"postal_code": "067500960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 LUZI DR APT 960",
"city": "BANTAM",
"state": "CT",
"postal_code": "067501619",
"telephone_number": "203-500-5333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILE CARE PARTNERS OF CONNECTICUT PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-15",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A",
"authorized_official_last_name": "MALONEY",
"authorized_official_first_name": "LINDSEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-500-5333",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bantam, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.