Individual provider Active NPI

Christina Marie Bolduc Falzone, APRN FNP-C

  • Family Nurse Practitioner
  • Manchester, CT
National Provider Identifier
1871067447
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8105 Issued in CT
Practice address
515 Middle Tpke W
Manchester, CT 06040-3816
Phone
(860) 533-4176
NPI assigned
Jan 17, 2019
Last updated
Dec 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8105 CT Primary
Adult Medicine Physician 207QA0505X 000000000 CT

Addresses

Primary practice location

515 Middle Tpke W
Manchester, CT 06040-3816

Mailing address

515 Middle Tpke W
Manchester, CT 06040-3816
Phone (860) 533-4176

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
I20190904001801 CT Practitioner - Nurse Practitioner 6709115538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Institute of Connecticut PLLCGroup PAC ID 4284078296, 25 clinicians

Practice addresses (Care Compare)

599 Farmington Ave
Suite 102
Farmington, CT 06032-2383
Phone (860) 284-4950

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8105CTMDPharmacist
000000000CTMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ear, Nose & Throat Institute of Connecticut PLLC CurrentSince Apr 27, 2024 Accepting new patients

Locations

4 Northwestern Dr
Ste 100
Bloomfield, CT 06002
Phone (860) 243-3344

599 Farmington Ave
Ste 101
Farmington, CT 06032
Phone (860) 284-4950

599 Farmington Ave
Ste 102
Farmington, CT 06032
Phone (860) 284-4950

622 Hebron Ave
Ste 201
Glastonbury, CT 06033

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

515 Middle Tpke W
Manchester, CT 06040
Phone (860) 533-4176

Interoperability endpoints

  • Direct secure messaging: christina.falzone.npi1871067447.phpct@direct.optumcare.masshiway.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1871067447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MIDDLE TPKE W",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060403816",
            "telephone_number": "860-533-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MIDDLE TPKE W",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060403816",
            "telephone_number": "860-533-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDUC FALZONE",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8105",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CT",
            "license": "000000000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.