Individual provider Active NPI

Veronica Guthrie Mansfield, APRN

  • Pediatric Nurse Practitioner
  • Waterbury, CT
National Provider Identifier
1790993152
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
E49013 Issued in CT
Practice address
70 Pine St
Waterbury, CT 06710-2169
Phone
(203) 756-7287
Fax
(203) 596-0722
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X E49013 CT Primary

Addresses

Primary practice location

70 Pine St
Waterbury, CT 06710-2169

Mailing address

70 Pine St
Waterbury, CT 06710-2169
Phone (203) 756-7287

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
I20080603000084 CT Practitioner - Nurse Practitioner 8628148699 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001473CTMDSurgical Physician Assistant
E49013CTMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Hospital Current Accepting new patients
Middlesex Hospital Pediatrics CurrentSince Nov 8, 2009 Accepting new patients
Middlesex Hospital CurrentSince Nov 8, 2009 Accepting new patients
Connecticut Pathology Group PC Current Accepting new patients

Locations

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

90 S Main St
Middletown, CT 06457
Phone (860) 358-6300

Interoperability endpoints

  • Direct secure messaging: vmansfield14082@middlesexhealthprd.direct-ci.com

Organizations & group practices 4

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790993152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 PINE ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067102169",
            "telephone_number": "203-756-7287",
            "fax_number": "203-596-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PINE ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067102169",
            "telephone_number": "203-756-7287",
            "fax_number": "203-596-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSFIELD",
        "first_name": "VERONICA",
        "middle_name": "GUTHRIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "E49013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.