Anna Victoria Faria, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

4450 Issued in CT

Practice address

968 Fairfield Ave
Southwest Community Health Center
Bridgeport, CT 06605-1116

Phone

(203) 579-8517

Fax

(203) 332-5600

NPI assigned

Sep 1, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: afaria133284@direct.ynhh.org

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.

• Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Middletown, CT
  • NPI 1952591851
  Medicare reassignment NPD
• Cornell Scott Hill Health Corporation

  • Federally Qualified Health Center (FQHC)
  • New Haven, CT
  • NPI 1902921380
  Medicare reassignment NPD
• Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Danbury, CT
  • NPI 1003332446
  NPD
• Cornell Scott Hill Health Corporation

  • Multi-Specialty Clinic/Center
  • New Haven, CT
  • NPI 1962477968
  NPD (past)

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1861709669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 HOWE ST",
            "address_2": "APT 1",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065117000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 FAIRFIELD AVE",
            "address_2": "SOUTHWEST COMMUNITY HEALTH CENTER",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066051116",
            "telephone_number": "203-579-8517",
            "fax_number": "203-332-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARIA",
        "first_name": "ANNA",
        "middle_name": "VICTORIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "4450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Health and Wellness Center of Bridgeport, LLC
• Family Loving Gentle Care Home Care LLC
• Deborah X Fang, MD
• Juan G Farfan, CRNA
• Mariam Farhan
• Dominique Farmer
• Caroline Mead Farrell
• James Stephen Farrelly, M.D.
• Mary Jo Hanna Farrelly, RD, CDE
• Joseph Faulhaber, PHARMD

• Pediatric Nurse Practitioner in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Pediatric Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.