Organization Active NPI

Csa Medical LLC

  • Family Nurse Practitioner
  • Glastonbury, CT
National Provider Identifier
1790478188
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CSA MEDICAL LLC
Practice address
924 Manchester Rd
Glastonbury, CT 06033-2629
Phone
(860) 281-3407
NPI assigned
May 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Authorized official

Name
Mrs. Christine Sherise Anane, APRN
Title
Aprn
Phone
(860) 281-3407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

924 Manchester Rd
Glastonbury, CT 06033-2629

Mailing address

924 Manchester Rd
Glastonbury, CT 06033-2629
Phone (860) 281-3407

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1790478188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 MANCHESTER RD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332629",
            "telephone_number": "860-281-3407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 MANCHESTER RD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332629",
            "telephone_number": "860-281-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSA MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "ANANE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "SHERISE",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "860-281-3407",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.