Individual provider Active NPI

Tina Grinold Nicastro, L.AC.

  • Acupuncturist
  • West Hartford, CT
National Provider Identifier
1831568252
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
000644 Issued in CT
Practice address
192 Park Rd
West Hartford, CT 06119-2013
Phone
(860) 284-4406
NPI assigned
Sep 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 000644 CT Primary

Addresses

Primary practice location

192 Park Rd
West Hartford, CT 06119-2013

Mailing address

173 Olde Stage Rd
Glastonbury, CT 06033-3249
Phone (860) 268-2092

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
000644CTMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Able Hands Chiropractic, LLC PastSince Dec 8, 2014 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1831568252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 OLDE STAGE RD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060333249",
            "telephone_number": "860-268-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 PARK RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061192013",
            "telephone_number": "860-284-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICASTRO",
        "first_name": "TINA",
        "middle_name": "GRINOLD",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CT",
            "license": "000644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.