New England Primary Healthcare LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

NEW ENGLAND PRIMARY HEALTHCARE LLC

Practice address

1001 Farmington Ave Ste 301
Bristol, CT 06010-3990

Phone

(860) 973-8120

Fax

(860) 973-8167

NPI assigned

Dec 1, 2020

Organization subpart

No

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

Authorized official

Name

Evelyn Boateng, APRNNPI 1588154363

Title

Sole Member

Phone

(203) 435-7506

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evelyn Boateng, RN, FNP AANP

  • Family Nurse Practitioner
  • New Britain, CT
  • NPI 1588154363
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1871198465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 EMMETT ST UNIT 82",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060108606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 FARMINGTON AVE STE 301",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060103990",
            "telephone_number": "860-973-8120",
            "fax_number": "860-973-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND PRIMARY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "BOATENG",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "203-435-7506",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chante Nation
• National Vision Inc
• Ivan L Navarro-Requena, PHARMD
• Brooke Neller, APRN
• New England Physical Therapy, LLC
• New England Urgent Care Enfield LLC
• New England Urgent Care Enfield LLC
• New Horizons Living Center, Inc
• Josephine Nguyen
• Ryan Nguyen

• Family Nurse Practitioner in Bristol, CT
• Providers in Bristol, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.