Individual provider Active NPI

Irene A Flynn-Lombardi, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Vernon, CT
National Provider Identifier
1851977573
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11726 Issued in CT
Practice address
281 Hartford Tpke Ste 106
Vernon, CT 06066-4760
Phone
(860) 218-9916
NPI assigned
Mar 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 87060 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11726 CT Primary

Addresses

Primary practice location

281 Hartford Tpke Ste 106
Vernon, CT 06066-4760

Mailing address

281 Hartford Tpke Ste 106
Vernon, CT 06066-4760
Phone (860) 218-9916

Other identifiers 1

IdentifierTypeStateIssuer
87060OtherCTRN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230518002449 CT Practitioner - Nurse Practitioner 2769848639 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11726CTMDGeneral Practice Dentistry
87060CTMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Seeds of Healing Psychiatry Psychiatric/Mental Health CurrentSince Apr 13, 2023 Accepting new patients

Locations

281 Hartford Tpke
Ste 106
Vernon Rockville, CT 06066
Phone (860) 243-9709

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1851977573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 HARTFORD TPKE STE 106",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664760",
            "telephone_number": "860-218-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 HARTFORD TPKE STE 106",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664760",
            "telephone_number": "860-218-9916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN-LOMBARDI",
        "first_name": "IRENE",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "87060",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "11726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "87060",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

Verify at the official NPI Registry.