Individual provider Active NPI

Barbara Ann Stoudmire, PMHNP-BC, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Naugatuck, CT
National Provider Identifier
1821668351
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9758 Issued in CT
Practice address
1081 New Haven Rd
10F
Naugatuck, CT 06770-4776
Phone
(203) 676-6594
NPI assigned
Jun 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9758 CT Primary

Addresses

Primary practice location

1081 New Haven Rd
10F
Naugatuck, CT 06770-4776

Mailing address

1081 New Haven Rd
10F
Naugatuck, CT 06770-4776
Phone (203) 676-6594

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
I20211022002384 CT Practitioner - Nurse Practitioner 4981092947 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.02 of 100Reported as group
Quality
87.5
Promoting interoperability
100
Improvement activities
40
Cost
77.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9758CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeport Hospital CurrentSince Nov 8, 2021 Accepting new patients
Bridgeport Hospital CurrentSince Nov 8, 2021 Accepting new patients
The Wright Hands, LLC Psychiatric/Mental Health CurrentSince Aug 7, 2022 Accepting new patients
Clifford W. Beers Guidance Clinic Inc Past Accepting new patients
Jewish Family Services of Greenwich Inc Past Accepting new patients

Locations

1558 Barnum Ave
Bridgeport, CT 06610
Phone (203) 384-3377

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

Organizations & group practices 6

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": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1821668351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 NEW HAVEN RD",
            "address_2": "10F",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067704776",
            "telephone_number": "203-676-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 NEW HAVEN RD",
            "address_2": "10F",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067704776",
            "telephone_number": "203-676-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUDMIRE",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "credential": "PMHNP-BC, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "9758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naugatuck, CT

Sources for this page

Verify at the official NPI Registry.