Active NPI
Courtney M. Fratta, RN
- Registered Nurse
- New Haven, CT
National Provider Identifier
1780106260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 10.063929
- Practice address
- 55 Lock St
New Haven, CT 06511-3603 - Phone
- (203) 430-9843
- NPI assigned
- Jul 17, 2017
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 10.063929 | CT | Primary |
Addresses
Primary practice location
55 Lock St
New Haven, CT 06511-3603
Mailing address
3715 N Business Dr Ste 202
Fayetteville, AR 72703-5288
Phone (203) 430-9843
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10.063929 | CT | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trestletree, LLC | Registered Nurse | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500249600000",
"number": "1780106260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3715 N BUSINESS DR STE 202",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727035288",
"telephone_number": "203-430-9843",
"fax_number": "479-582-0778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 LOCK ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065113603",
"telephone_number": "203-430-9843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRATTA",
"first_name": "COURTNEY",
"middle_name": "M.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-17",
"last_updated": "2017-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "10.063929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.