NPIMap

Individual provider Active NPI

Kristie L Tapper, APRN

  • Adult Health Nurse Practitioner
  • Colchester, CT
National Provider Identifier
1811903230
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
004880 Issued in CT
Practice address
163 Broadway St
Colchester, CT 06415-1022
Phone
(860) 537-4601
Fax
(860) 537-6935
NPI assigned
Jul 31, 2006
Last updated
Jan 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 2215 MA
Adult Health Nurse Practitioner 363LA2200X 004880 CT Primary

Addresses

Primary practice location

163 Broadway St
Colchester, CT 06415-1022

Mailing address

112 Lafayette Street
Norwich, CT 02169
Phone (860) 425-8715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120223000549 CT Practitioner - Nurse Practitioner 2466455365 Reassigns benefits to 1 organization

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 IncGroup PAC ID 1153573902, 257 clinicians

Practice addresses (Care Compare)

8 Vista Dr
Old Lyme, CT 06371-1587
Phone (860) 434-8847

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.48 of 100Reported as apm
Quality
83.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
004880CTMDPsychologist
2215MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group, Inc CurrentSince Jul 1, 2016 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

  • Direct secure messaging: kristie.tapper@xdr.hhchealthdirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.