Active NPI
Tanya Estavien, APRN
- Family Nurse Practitioner
- Stratford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 14731
- Practice address
- 74 River Bend Rd Unit B
Stratford, CT 06614-8099 - Phone
- (203) 722-2272
- Fax
- (203) 722-2272
- NPI assigned
- Apr 23, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 14731 | CT | Primary |
| Family Nurse Practitioner | 363LF0000X | 4061264 | KY | |
| Adult Health Nurse Practitioner | 363LA2200X | 14731 | CT | |
| Gerontology Nurse Practitioner | 363LG0600X | 14731 | CT |
Addresses
Primary practice location
74 River Bend Rd Unit B
Stratford, CT 06614-8099
Mailing address
74 River Bend Rd Unit B
Stratford, CT 06614-8099
Phone (203) 722-2272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4 Hazel Ave
Naugatuck, CT 06770-4706
Phone (203) 723-1456
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014731 | CT | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molina Care Connections, LLC. | Current | Accepting new patients | |
| Proactive Health Care Management,LLC | Adult Health | Current | Accepting new patients |
Locations
200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666
175 Scott Swamp Rd
Farmington, CT 06032
Phone (860) 249-6752
845 Paddock Ave
Meriden, CT 06450
Phone (203) 238-2645
4 Hazel Ave
Naugatuck, CT 06770
Phone (203) 720-3411
5100 Commerce Crossings Dr
Louisville, KY 40229
Phone (502) 305-6267
3000 Corporate Exchange Dr
Columbus, OH 43231
Phone (614) 942-3042
Interoperability endpoints
- testavien20583@direct-prd.molinahealthcare.com
Organizations & group practices 4
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.
-
- Adult Health Nurse Practitioner
- Milford, CT
- NPI 1811641145
-
- Nurse Practitioner
- North Syracuse, NY
- NPI 1134622970
-
- Health Maintenance Organization
- New York, NY
- NPI 1548677883
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Derby, CT
- NPI 1184639973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1831986710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 RIVER BEND RD UNIT B",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066148099",
"telephone_number": "203-722-2272",
"fax_number": "203-722-2272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 RIVER BEND RD UNIT B",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066148099",
"telephone_number": "203-722-2272",
"fax_number": "203-722-2272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTAVIEN",
"first_name": "TANYA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-23",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "14731",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "4061264",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CT",
"license": "14731",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CT",
"license": "14731",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stratford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.