Active NPI
Kathryn J Connor, PA-C
- Physician Assistant
- Groton, CT
National Provider Identifier
1861842437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 000064
- Practice address
- 52 Hazelnut Hill Rd
Groton, CT 06340-3268 - Phone
- (860) 446-8265
- NPI assigned
- Jun 15, 2016
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 000064 | CT | Primary |
Addresses
Primary practice location
52 Hazelnut Hill Rd
Groton, CT 06340-3268
Mailing address
52 Hazelnut Hill Rd
Groton, CT 06340-3268
Phone (860) 446-8265
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060646704 | Other | FEIN |
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 |
|---|---|---|---|
| 000064 | CT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465948800000",
"number": "1861842437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 HAZELNUT HILL RD",
"city": "GROTON",
"state": "CT",
"postal_code": "063403268",
"telephone_number": "860-446-8265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 HAZELNUT HILL RD",
"city": "GROTON",
"state": "CT",
"postal_code": "063403268",
"telephone_number": "860-446-8265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOR",
"first_name": "KATHRYN",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-15",
"last_updated": "2016-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "000064",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEIN",
"identifier": "060646704",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Groton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.