Active NPI
Eileen Hanrahan, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Willimantic, CT
National Provider Identifier
1851571244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 003105
- Practice address
- 132 Mansfield Ave
Willimantic, CT 06226-2027 - Phone
- (860) 456-2661
- NPI assigned
- Nov 14, 2007
- Last updated
- Mar 21, 2011
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 003105 | CT | Primary |
Addresses
Primary practice location
132 Mansfield Ave
Willimantic, CT 06226-2027
Mailing address
66 Shore Rd
Old Lyme, CT 06371-1637
Phone (860) 434-4316
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003105 | Other | CT | CT LICENSE FOR APRN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 003105 | CT | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300665600000",
"number": "1851571244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 SHORE RD",
"city": "OLD LYME",
"state": "CT",
"postal_code": "063711637",
"telephone_number": "860-434-4316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 MANSFIELD AVE",
"city": "WILLIMANTIC",
"state": "CT",
"postal_code": "062262027",
"telephone_number": "860-456-2661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANRAHAN",
"first_name": "EILEEN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-14",
"last_updated": "2011-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "003105",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT LICENSE FOR APRN",
"identifier": "003105",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Willimantic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.