Individual provider Active NPI

Jacquelyn A Meyer, APRN

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Norwalk, CT
National Provider Identifier
1811970551
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
001136 Issued in CT
Practice address
71 East Ave
Suite V
Norwalk, CT 06851-4903
Phone
(203) 656-1452
Fax
(203) 656-1485
NPI assigned
Nov 28, 2005
Last updated
Jan 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 001136 CT Primary

Addresses

Primary practice location

71 East Ave
Suite V
Norwalk, CT 06851-4903

Mailing address

71 East Ave
Suite V
Norwalk, CT 06851-4903
Phone (203) 656-1452

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
I20071108000202 CT Practitioner - Certified Clinical Nurse Specialist (CNS) 2668384819 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001136CTMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jacquelyn Meyer Aprn, PLLC Current Accepting new patients
Shoreline Psychiatry of Western Connecticut, LLC PastSince May 1, 2010 Accepting new patients
NP Care, LLC Past Accepting new patients
NP Care, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jacquelyn.meyer@xdr.hhchealthdirect.org
  • Direct secure messaging: jmeyer@direct.wtbyhosp.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1811970551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 EAST AVE",
            "address_2": "SUITE V",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514903",
            "telephone_number": "203-656-1452",
            "fax_number": "203-656-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 EAST AVE",
            "address_2": "SUITE V",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514903",
            "telephone_number": "203-656-1452",
            "fax_number": "203-656-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "JACQUELYN",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "CT",
            "license": "001136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.