Sharareh Amin Hanjani, APRN
Individual provider Active NPI Nurse Practitioner · Hartford, CT
NPI 1831452523 · NPPES record last updated Jun 19, 2012
Key facts
- NPI
- 1831452523
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 4974 (CT)
- Practice address
- 1000 Asylum Ave
Suite 2102
Hartford, CT 06105-1770 - Phone
- (860) 714-7509
- Fax
- (860) 714-8238
- NPI assigned
- Jun 19, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Cincinnati College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trinity Health of New England Provider Network Organization Inc
Practice addresses (Care Compare)
1000 Asylum Ave
Suite 1075
Hartford, CT 06105-1770
Phone (860) 714-4327
114 Woodland St
Hartford, CT 06105-1208
Hospital & facility affiliations
- St Francis Hospital & Medical Center
- Johnson Memorial Hospital
- Saint Mary'S Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120820000493 | CT | Practitioner - Nurse Practitioner | 0749436046 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4974 | CT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health of New England Provider Network Organization Inc | Nurse Practitioner | Current |
Accepting new patients |
| Trinity Health of New England Provider Network Organization Inc | Current |
Accepting new patients |
Locations
852 Cottage Grove Rd
Bloomfield, CT 06002
Phone (860) 714-5895
1000 Asylum Ave
Ste 2102
Hartford, CT 06105
Phone (860) 247-9031
1000 Asylum Ave
Ste 4304
Hartford, CT 06105
Phone (860) 522-3711
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
1000 Asylum Ave
Ste 4309A
Hartford, CT 06105
1000 Asylum Ave
Ste 2109A
West Hartford, CT 06105
Phone (860) 714-5058
Interoperability endpoints
- shanjani84779@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4974 | CT | Yes |
Addresses
Primary practice location
1000 Asylum Ave
Suite 2102
Hartford, CT 06105-1770
Mailing address
1000 Asylum Ave
Suite 2109a
Hartford, CT 06105-1770
Phone (860) 714-5058
Other providers in Hartford, CT
- Shanjiv Ambi
- Susan M Ambrose
- AMC Counseling Services, LLC
- Sarah Lisette Amenta
- Maytal Amiel
- Caroline Amin
- Hardik P Amin
- Payal B Amin
- Lisa Amore
- Tiffany Amos
All providers in Hartford, CT · Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.