Individual provider Active NPI

Tanya Estavien, APRN

  • Family Nurse Practitioner
  • Stratford, CT
National Provider Identifier
1831986710
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14731 Issued in CT
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

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250509000510 CT Practitioner - Nurse Practitioner 7517484843 Reassigns benefits to 2 organizations
I20260625004780 NY Practitioner - Nurse Practitioner 7517484843 Reassigns benefits to 2 organizations

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
Proactive Health Care Management LLCGroup PAC ID 8022497874, 38 clinicians

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

LicenseStateTypeSpecialty
014731CTMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Care Connections, LLC. CurrentSince Nov 3, 2025 Accepting new patients
Proactive Health Care Management,LLC Adult Health CurrentSince May 2, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.