Individual provider Active NPI

Joann H Ahern, APRN

  • Medical-Surgical Clinical Nurse Specialist
  • Danbury, CT
National Provider Identifier
1770566317
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Clinical Nurse SpecialistTaxonomy code 364SM0705X
License
001425 Issued in CT
Practice address
79 Sand Pit Rd
Suite 201
Danbury, CT 06810-4005
Phone
(203) 749-5754
Fax
(203) 749-5760
NPI assigned
Nov 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Clinical Nurse Specialist 364SM0705X 001425 CT Primary

Addresses

Primary practice location

79 Sand Pit Rd
Suite 201
Danbury, CT 06810-4005

Mailing address

79 Sand Pit Rd
Suite 201
Danbury, CT 06810-4005
Phone (203) 749-5754

Other identifiers 1

IdentifierTypeStateIssuer
004196037MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
001425CTMDChiropractor
1425CTMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Diabetes Excellence Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1770566317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 SAND PIT RD",
            "address_2": "SUITE 201",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104005",
            "telephone_number": "203-749-5754",
            "fax_number": "203-749-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 SAND PIT RD",
            "address_2": "SUITE 201",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104005",
            "telephone_number": "203-749-5754",
            "fax_number": "203-749-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHERN",
        "first_name": "JOANN",
        "middle_name": "H",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SM0705X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "CT",
            "license": "001425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004196037",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.