Individual provider Active NPI

Courtney Dale Donarum, DNP, NP-C

  • Family Nurse Practitioner
  • New Britain, CT
National Provider Identifier
1780045575
Registry record updated Feb 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6471 Issued in CT
Practice address
One Lake Sreet
Suite 202, 3Rd Floor
New Britain, CT 06052-1396
Phone
(860) 348-4242
NPI assigned
Mar 8, 2016
Last updated
Feb 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6471 CT Primary

Addresses

Primary practice location

One Lake Sreet
Suite 202, 3Rd Floor
New Britain, CT 06052-1396

Mailing address

1 Lake St
Suite 202, 3Rd Floor
New Britain, CT 06052-1396
Phone (860) 348-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160606002491 CT Practitioner - Nurse Practitioner 6204126139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Starling Physicians, PLLCGroup PAC ID 7517863749, 276 clinicians

Practice addresses (Care Compare)

100 Simsbury Rd
Avon, CT 06001-3793
Phone (860) 258-3480

1260 Silas Deane Hwy
Wethersfield, CT 06109-4362
Phone (860) 832-4666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Physicians, PLLC CurrentSince Mar 28, 2016 Accepting new patients
Starling Physicians PLLC CurrentSince Mar 28, 2016 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

1 Darling Dr
Avon, CT 06001
Phone (203) 691-9899

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

1 Lake St
Ste 202
New Britain, CT 06052
Phone (860) 348-4242

1111 Cromwell Ave
Ste 202
Rocky Hill, CT 06067
Phone (203) 397-8000

2110 Silas Deane Hwy
Rocky Hill, CT 06067

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, 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": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1780045575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LAKE ST",
            "address_2": "SUITE 202, 3RD FLOOR",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521396",
            "telephone_number": "860-348-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE LAKE SREET",
            "address_2": "SUITE 202, 3RD FLOOR",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521396",
            "telephone_number": "860-348-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONARUM",
        "first_name": "COURTNEY",
        "middle_name": "DALE",
        "credential": "DNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-08",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "6471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.