Ida R Pratt, CHW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

19793616 Issued in CT

Practice address

1000 Lafayette Blvd Ste 1100
Bridgeport, CT 06604-4710

Phone

(475) 301-8414

Fax

(203) 745-4595

NPI assigned

Jul 2, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Caring Arms Homecare

  • In Home Supportive Care Agency
  • New Haven, CT
  • NPI 1285050070
  NPD Authorized official
• Caring Arms Homecare Agency, LLC

  • Nurse's Aide
  • Hamden, CT
  • NPI 1588962716

  Case Manager/Care Coordinator

  NPD Authorized official

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1780024943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 PUTNAM AVE UNIT 6535",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065177722",
            "telephone_number": "475-301-8414",
            "fax_number": "203-745-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LAFAYETTE BLVD STE 1100",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044710",
            "telephone_number": "475-301-8414",
            "fax_number": "203-745-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "IDA",
        "middle_name": "R",
        "credential": "CHW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "CT",
            "license": "NA198508",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CT",
            "license": "19793616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle Powell
• Hailey Diane Power, PT, DPT
• Raksha Gauri Prabhulal, MD
• Kaila Prakuson, LCSW
• Vanessa Pralle, OTR/L
• Marilyn Pratt, LMSW
• Pre-Destination Elderly & Handicap LLC
• Kathleen Regina Prece, LCSW
• Precise Care, LLC
• Angela Preda, PA

• Community Health Worker in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Community Health Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.