Individual provider Active NPI

Novlette P. Dias

  • Rehabilitation Registered Nurse
  • New Britain, CT
National Provider Identifier
1821639204
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Registered NurseTaxonomy code 163WR0400X
License
123936 Issued in CT
Practice address
75 N Mountain Rd
New Britain, CT 06053-3468
Phone
(860) 712-6698
NPI assigned
Oct 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Registered Nurse 163WR0400X 123936 CT Primary

Addresses

Primary practice location

75 N Mountain Rd
New Britain, CT 06053-3468

Mailing address

99 Goodyear St
New Haven, CT 06511-1010
Phone (860) 712-6698

Other names 1

  • Mrs. Novlette Paige Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
123936CTMDRehabilitation Registered Nurse

Interoperability endpoints

  • Direct secure messaging: novlette.dias.p1@direct.wheelerclinic.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1821639204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 GOODYEAR ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065111010",
            "telephone_number": "860-712-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 N MOUNTAIN RD",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060533468",
            "telephone_number": "860-712-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAS",
        "first_name": "NOVLETTE",
        "middle_name": "P.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "CT",
            "license": "123936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOVLETTE",
            "last_name": "PAIGE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Britain, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.