Individual provider Active NPI

Sonal Fisco, DNP,APRN

  • Family Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1770139727
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8515 Issued in CT
Practice address
282 Washington St
Hartford, CT 06106-3322
Phone
(860) 545-8730
NPI assigned
Aug 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 10.106554 CT
Family Nurse Practitioner 363LF0000X 8515 CT Primary

Addresses

Primary practice location

282 Washington St
Hartford, CT 06106-3322

Mailing address

31 Flower St
Wethersfield, CT 06109-1708
Phone (978) 204-8307

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smehta8365@direct.connecticutchildrens.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191115002110 CT Practitioner - Nurse Practitioner 7113359985 Reassigns benefits to 1 organization
I20230308003136 MA Practitioner - Nurse Practitioner 7113359985 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10.106554CTMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Children'S Specialty Group, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Connecticut Children'S Specialty Group, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Connecticut Children'S Medical Center Past Accepting new patients

Locations

105 Newtown Rd
#A
Danbury, CT 06810
Phone (860) 545-9395

105 Newtown Rd
Danbury, CT 06810
Phone (203) 744-4343

399 Farmington Ave
Ste 230
Farmington, CT 06032
Phone (860) 246-8568

310 Western Blvd
Glastonbury, CT 06033
Phone (860) 837-9877

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

10 Columbus Blvd
Fl 4
Hartford, CT 06106
Phone (860) 837-5560

282 Washington St
Ste 2B
Hartford, CT 06106
Phone (860) 545-9216

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

191 Post Rd W
#1
Westport, CT 06880

191 Post Rd E FL 1
Westport, CT 06880

84 Willimansett St
South Hadley, MA 01075
Phone (413) 533-8501

84 Willimansett St
Ste C
South Hadley, MA 01075
Phone (860) 545-9395

Organizations & group practices 3

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": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1770139727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 FLOWER ST",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091708",
            "telephone_number": "978-204-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 WASHINGTON ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061063322",
            "telephone_number": "860-545-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCO",
        "first_name": "SONAL",
        "name_prefix": "Dr.",
        "credential": "DNP,APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "10.106554",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smehta8365@direct.connecticutchildrens.org",
            "affiliation": "N",
            "address_1": "282 Washington St",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061063322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.