Active NPI
Carissa Ann Tufano, MSN
- Nurse Practitioner
- Avon, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 003970
- Practice address
- 21 Waterville Rd
Harvest Healthcare
Avon, CT 06001-2097 - Phone
- (860) 678-9755
- Fax
- (860) 284-6804
- NPI assigned
- Aug 20, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 079510 | CT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 003970 | CT | |
| Nurse Practitioner | 363L00000X | 003970 | CT | Primary |
Addresses
Primary practice location
21 Waterville Rd
Harvest Healthcare
Avon, CT 06001-2097
Mailing address
21 Waterville Rd
Harvest Healthcare
Avon, CT 06001-2097
Phone (860) 678-9755
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079510 | Other | CT | RN LICENSE |
| 003970 | Other | CT | APRN LICENSE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 079510 | CT | MD | Psychiatric/Mental Health Registered Nurse |
| 003970 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Mental Health Specialists Inc | Psychiatric/Mental Health | Current | Accepting new patients |
| Harvest Healthcare LLC | Nurse Practitioner | Current | Accepting new patients |
| Step Up Care PC LLC | Current | Accepting new patients | |
| Sunrise Psychological Services LLC | Current | Accepting new patients | |
| Behavioral Wellness Partners, LLC | Current | Accepting new patients | |
| Optimus Health Care Inc | Current | Accepting new patients |
Locations
21 Waterville Rd
Avon, CT 06001
Phone (860) 284-0182
471 Barnum Ave
Bridgeport, CT 06608
Phone (203) 333-6864
982 E Main St
Bridgeport, CT 06608
Phone (203) 696-3260
36 Broadway St
Colchester, CT 06415
Phone (860) 537-4606
270 Farmington Ave
Ste 309
Farmington, CT 06032
Phone (860) 677-5570
1165 King St
Greenwich, CT 06831
Phone (203) 531-1335
55 Grand St
New Britain, CT 06052
Phone (845) 459-5767
172 Rocky Rest Rd
Shelton, CT 06484
Phone (203) 924-6268
1351 Washington Blvd
Stamford, CT 06902
Phone (203) 276-7464
494 Elm St
Stamford, CT 06902
Phone (203) 325-0200
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
Organizations & group practices 6
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.
-
- Psychiatry Physician
- Farmington, CT
- NPI 1053362814
Psychiatric/Mental Health
-
- Federally Qualified Health Center (FQHC)
- Bridgeport, CT
- NPI 1669445946
-
- Counselor
- Danielson, CT
- NPI 1154884740
-
- Psychologist
- Prospect, CT
- NPI 1699199869
-
- Psychiatry Physician
- Stamford, CT
- NPI 1245848670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351036800000",
"number": "1760639819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 WATERVILLE RD",
"address_2": "HARVEST HEALTHCARE",
"city": "AVON",
"state": "CT",
"postal_code": "060012097",
"telephone_number": "860-678-9755",
"fax_number": "860-284-6804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 WATERVILLE RD",
"address_2": "HARVEST HEALTHCARE",
"city": "AVON",
"state": "CT",
"postal_code": "060012097",
"telephone_number": "860-678-9755",
"fax_number": "860-284-6804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUFANO",
"first_name": "CARISSA",
"middle_name": "ANN",
"credential": "MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-20",
"last_updated": "2012-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CT",
"license": "079510",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "003970",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "003970",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "079510",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN LICENSE",
"identifier": "003970",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Avon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.