Active NPI
Joann H Ahern, APRN
- Medical-Surgical Clinical Nurse Specialist
- Danbury, CT
National Provider Identifier
1770566317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Clinical Nurse Specialist
- License
- 001425
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004196037 | Medicaid | CT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001425 | CT | MD | Chiropractor |
| 1425 | CT | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New 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.
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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.