Active NPI
Nancy K. Jarasek, APRN
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
- Hartford, CT
National Provider Identifier
1780773648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 000942
- Practice address
- 200 Retreat Avenue
Hartford Hospital Child Psychiatry
Hartford, CT 06106 - Phone
- (860) 545-7493
- NPI assigned
- Oct 11, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0807X | 000942 | CT | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 000942 | CT |
Addresses
Primary practice location
200 Retreat Avenue
Hartford Hospital Child Psychiatry
Hartford, CT 06106
Mailing address
PO Box 40000 Dept 634
Hartford Hospital Professional Services
Hartford, CT 06151-0634
Phone (860) 545-7602
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004009429 | 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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000942 | CT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348790400000",
"number": "1780773648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40000 DEPT 634",
"address_2": "HARTFORD HOSPITAL PROFESSIONAL SERVICES",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061510634",
"telephone_number": "860-545-7602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 RETREAT AVENUE",
"address_2": "HARTFORD HOSPITAL CHILD PSYCHIATRY",
"city": "HARTFORD",
"state": "CT",
"postal_code": "06106",
"telephone_number": "860-545-7493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARASEK",
"first_name": "NANCY",
"middle_name": "K.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2012-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0807X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
"state": "CT",
"license": "000942",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "000942",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004009429",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.