Jennifer Monahan
Individual provider Active NPI Family Nurse Practitioner · Bloomfield, CT
NPI 1801758552 · NPPES record last updated Dec 2, 2025
Key facts
- NPI
- 1801758552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 15238 (CT)
- Practice address
- 1 Northwestern Dr Ste 101
Bloomfield, CT 06002-3400 - Phone
- (860) 249-4862
- Fax
- (860) 760-5719
- NPI assigned
- Dec 2, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15238 | CT | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 15238 | CT | Yes |
Addresses
Primary practice location
1 Northwestern Dr Ste 101
Bloomfield, CT 06002-3400
Mailing address
38 Haley Meadow Rd
Griswold, CT 06351-1155
Phone (860) 617-6699
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All providers in Bloomfield, CT · Family Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.