Individual provider Active NPI

Tamikque Vane Escourse, FNP

  • Family Nurse Practitioner
  • Avon, CT
National Provider Identifier
1760623185
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12.006470 Issued in CT
Practice address
385 W Main St
Avon, CT 06001-4357
Phone
(860) 212-5040
Fax
(860) 545-3755
NPI assigned
Mar 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12.006470 CT Primary
Family Nurse Practitioner 363LF0000X 33335747 NY

Addresses

Primary practice location

385 W Main St
Avon, CT 06001-4357

Mailing address

355 Captain Thomas Blvd Unit 52
West Haven, CT 06516-5802
Phone (929) 240-0985

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
I20160505000928 CT Practitioner - Nurse Practitioner 8820266703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Urgent Care Centers LLCGroup PAC ID 7618242777, 201 clinicians

Practice addresses (Care Compare)

385 W Main St
Avon, CT 06001-4357
Phone (860) 777-6977

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as group
Quality
85.61
Promoting interoperability
100
Improvement activities
40
Cost
46.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
335747NYMDPsychiatry Physician
6470CTMDSurgical Physician Assistant
12.006470CTMDFamily Nurse Practitioner
33335747NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Urgent Care Centers, LLC CurrentSince Oct 1, 2021 Accepting new patients
QMG7,LLC Past Accepting new patients
WRK Ventures, LLC Past Accepting new patients
Urgent Care of Waterbury, LLC PastSince Feb 22, 2016 Accepting new patients

Locations

385 W Main St
Avon, CT 06001
Phone (860) 777-1280

100 Pearl St
Hartford, CT 06103
Phone (860) 969-1463

336 N Main St
West Hartford, CT 06117
Phone (860) 200-7701

Interoperability endpoints

  • Direct secure messaging: tescourse517531@xdr.hhchealthdirect.org
  • Direct secure messaging: tamikque.escourse.1@24989.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1760623185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 CAPTAIN THOMAS BLVD UNIT 52",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065165802",
            "telephone_number": "929-240-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 W MAIN ST",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014357",
            "telephone_number": "860-212-5040",
            "fax_number": "860-545-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOURSE",
        "first_name": "TAMIKQUE",
        "middle_name": "VANE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-14",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12.006470",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "33335747",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

Verify at the official NPI Registry.