Individual provider Active NPI

Mary Lynn Valentino, APRN

  • Adult Health Nurse Practitioner
  • Danbury, CT
National Provider Identifier
1790541548
Registry record updated Mar 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
12926 Issued in CT
Practice address
51-53 Kenosia Ave
Danbury, CT 06810-2304
Phone
(203) 748-0330
NPI assigned
Feb 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 12926 CT Primary

Addresses

Primary practice location

51-53 Kenosia Ave
Danbury, CT 06810-2304

Mailing address

51-53 Kenosia Ave
Danbury, CT 06810-2304
Phone (203) 748-0330

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
I20240410003687 CT Practitioner - Nurse Practitioner 6305284258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Associates of Danbury, PCGroup PAC ID 3971494782, 13 clinicians

Practice addresses (Care Compare)

51 -53 Kenosia Ave
Danbury, CT 06810-2304
Phone (203) 748-0330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12926CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Associates of Danbury PC CurrentSince Apr 1, 2024 Accepting new patients

Locations

51-53 Kenosia Ave
Danbury, CT 06810
Phone (203) 748-0330

73 Sand Pit Rd
Ste 204
Danbury, CT 06810
Phone (203) 212-8000

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709424000000",
    "number": "1790541548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51-53 KENOSIA AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068102304",
            "telephone_number": "203-748-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51-53 KENOSIA AVE",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068102304",
            "telephone_number": "203-748-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINO",
        "first_name": "MARY",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-03-03",
        "certification_date": "2024-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "12926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.