Active NPI
Christin Homiski, MD
- Internal Medicine Physician
- Norwich, CT
National Provider Identifier
1851359210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 041580
- Practice address
- 2 Lathrop Ave
Norwich, CT 06360-2309 - Phone
- (860) 204-0332
- Fax
- (860) 204-0115
- NPI assigned
- May 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 041580 | CT | Primary |
Addresses
Primary practice location
2 Lathrop Ave
Norwich, CT 06360-2309
Mailing address
2 Lathrop Ave
Norwich, CT 06360-2309
Phone (860) 204-0332
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01004158CT03 | Other | CT | ANTHEM BLUE CROSS |
| IP001415802 | Medicaid | CT |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041580 | CT | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321920000000",
"number": "1851359210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 LATHROP AVE",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602309",
"telephone_number": "860-204-0332",
"fax_number": "860-204-0115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 LATHROP AVE",
"city": "NORWICH",
"state": "CT",
"postal_code": "063602309",
"telephone_number": "860-204-0332",
"fax_number": "860-204-0115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMISKI",
"first_name": "CHRISTIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2011-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "041580",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "01004158CT03",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "IP001415802",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.