Active NPI
Docs Urgent and Primary Care
- Nurse Practitioner
- Waterbury, CT
National Provider Identifier
1770392003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- DOCS URGENT AND PRIMARY CARE
- Practice address
- 279 Chase Ave
Waterbury, CT 06704-2236 - Phone
- (203) 528-4993
- NPI assigned
- Jan 1, 2025
- 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
- Beatrice Vincent, FNP-BC
- Title
- Family Nurse Practitioner
- Phone
- (203) 528-4993
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
279 Chase Ave
Waterbury, CT 06704-2236
Mailing address
283 Mount Fair Dr
Watertown, CT 06795-1657
Phone (203) 224-9376
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- East Haven, CT
- NPI 1457161663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735776000000",
"number": "1770392003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "283 MOUNT FAIR DR",
"city": "WATERTOWN",
"state": "CT",
"postal_code": "067951657",
"telephone_number": "203-224-9376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 CHASE AVE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067042236",
"telephone_number": "203-528-4993"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOCS URGENT AND PRIMARY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-01",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A",
"authorized_official_last_name": "VINCENT",
"authorized_official_first_name": "BEATRICE",
"authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "203-528-4993",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.