Active NPI
Kristie L Tapper, APRN
- Adult Health Nurse Practitioner
- Colchester, CT
National Provider Identifier
1811903230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 004880
- Practice address
- 163 Broadway St
Colchester, CT 06415-1022 - Phone
- (860) 537-4601
- Fax
- (860) 537-6935
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Farmington, CT
- NPI 1720140221
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New London, CT
- NPI 1073530879
Hospital
-
- General Acute Care Hospital
- New London, CT
- NPI 1700092459
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Hartford Healthcare Medical Group Inc
Practice addresses (Care Compare)
8 Vista Dr
Old Lyme, CT 06371-1587
Phone (860) 434-8847
Hospital & facility affiliations
- Lawrence & Memorial Hospital
- Middlesex Hospital
- William W Backus Hospital
- Yale-New Haven Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.48 of 100
- Quality
- 83.4
- Promoting interoperability
- 100
- Improvement activities
- 40
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120223000549 | CT | Practitioner - Nurse Practitioner | 2466455365 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2215 | MA | MD | Marriage & Family Therapist |
| 4880 | CT | MD | Pharmacist |
| 004880 | CT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group, Inc | Current | Accepting new patients | |
| Hartford Healthcare Medical Group, Inc | Past | Accepting new patients |
Locations
111 Salem Tpke
Ste 8
Norwich, CT 06360
Phone (860) 886-0023
8 Vista Dr
Old Lyme, CT 06371
Phone (646) 942-7318
55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
Interoperability endpoints
- kristie.tapper@xdr.hhchealthdirect.org
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 2215 | MA | |
| Adult Health Nurse Practitioner | 363LA2200X | 004880 | CT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
163 Broadway St
Colchester, CT 06415-1022
Mailing address
112 Lafayette Street
Norwich, CT 02169
Phone (860) 425-8715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 23, 2012.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327276800000",
"number": "1811903230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 LAFAYETTE STREET",
"city": "NORWICH",
"state": "CT",
"postal_code": "02169",
"telephone_number": "860-425-8715",
"fax_number": "860-425-8707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 BROADWAY ST",
"city": "COLCHESTER",
"state": "CT",
"postal_code": "064151022",
"telephone_number": "860-537-4601",
"fax_number": "860-537-6935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAPPER",
"first_name": "KRISTIE",
"middle_name": "L",
"name_prefix": "Miss",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2012-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "MA",
"license": "2215",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CT",
"license": "004880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.