Individual provider Active NPI

Elizabeth Fracchia, APRN

  • Family Health Clinical Nurse Specialist
  • New London, CT
National Provider Identifier
1841626314
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
5537 Issued in CT
Practice address
365 Montauk Ave
New London, CT 06320-4700
Phone
(860) 271-4364
Fax
(860) 444-5114
NPI assigned
Sep 17, 2013
Last updated
Sep 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X 5537 CT Primary

Addresses

Primary practice location

365 Montauk Ave
New London, CT 06320-4700

Mailing address

365 Montauk Ave
New London, CT 06320-4700
Phone (860) 271-4364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI2 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
I20140212000517 CT Practitioner - Nurse Practitioner 3971732009 Reassigns benefits to 3 organizations
I20180319001963 RI Practitioner - Nurse Practitioner 3971732009 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Medicine Associates LLC CurrentSince Jul 1, 2017 Accepting new patients
Pounds Medical Weight Loss Transformation PC CurrentSince Feb 1, 2022 Accepting new patients
Ipc Hospitalists of New England, P.C. CurrentSince Dec 2, 2013 Accepting new patients
Ipc Hospitalists of New England PC CurrentSince Dec 2, 2013 Accepting new patients
Ipc Hospitalists of New England, P.C. Current Accepting new patients
Pounds, Medical Weight Loss Transformation, PC Past Accepting new patients

Locations

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

125 Lasalle Rd
Ste 208
West Htfd, CT 06107
Phone (860) 906-1289

819 Worcester St
Ste 3
Springfield, MA 01151
Phone (413) 543-6820

25 Wells St
Westerly, RI 02891
Phone (401) 348-3325

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25497/brand/1/csg/1/fhir/r4

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": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1841626314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204700",
            "telephone_number": "860-271-4364",
            "fax_number": "860-444-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 MONTAUK AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204700",
            "telephone_number": "860-271-4364",
            "fax_number": "860-444-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRACCHIA",
        "first_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "CT",
            "license": "5537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.