NPIMap

Organization Active NPI

Minute Clinic

  • Family Nurse Practitioner
  • Rocky Hill, CT
National Provider Identifier
1760810972
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5531 Issued in CT
Legal business name
MINUTE CLINIC
Practice address
323 Cromwell Ave
Rocky Hill, CT 06067-1801
Phone
(186) 638-9272
NPI assigned
Oct 24, 2013
Last updated
Feb 5, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
MINUTE CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
Karren Agyekum, NPNPI 1508296542
Title
Family Nurse Practitioner
Phone
(866) 389-2727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5531 CT Primary

Addresses

Primary practice location

323 Cromwell Ave
Rocky Hill, CT 06067-1801

Mailing address

323 Cromwell Ave
Rocky Hill, CT 06067-1801
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Tax ID family
Gayle Witham456 organizations share this tax ID, including this one
Part of
Gayle Witham

Organizations with this tax ID in the same state 5

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1760810972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 CROMWELL AVE",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671801",
            "telephone_number": "866-389-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 CROMWELL AVE",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671801",
            "telephone_number": "186-638-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINUTE CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINUTE CLINIC",
        "enumeration_date": "2013-10-24",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "AGYEKUM",
        "authorized_official_first_name": "KARREN",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "18663892727",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "5531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.