NPIMap

Individual provider Active NPI

Dawn C. Froonjian, FNP

  • Family Nurse Practitioner
  • Stafford Springs, CT
National Provider Identifier
1891079190
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
004802 Issued in CT
Practice address
201 Chestnut Hill Rd.
Stafford Springs, CT 06076
Phone
(860) 272-2960
Fax
(860) 684-8756
NPI assigned
Oct 5, 2011
Last updated
Nov 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 004802 CT Primary

Addresses

Primary practice location

201 Chestnut Hill Rd.
Stafford Springs, CT 06076

Mailing address

114 Tolland Ave.
Stafford Springs, CT 06076
Phone (860) 272-2960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130528000070 CT Practitioner - Nurse Practitioner 5597903856 Reassigns benefits to 1 organization
I20220324000899 MA Practitioner - Nurse Practitioner 5597903856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

140 Hazard Ave
Suite 101
Enfield, CT 06082-5424
Phone (860) 714-9701

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4802CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Jan 1, 2016 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Jan 1, 2016 Accepting new patients
Riverbend Medical Group, Inc CurrentSince Feb 1, 2022 Accepting new patients
Riverbend Medical Group, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Saint Francis Care Medical Group, PC Past Accepting new patients
Mwa,PC Past Accepting new patients
Johnson Professional Associates, PC Past Accepting new patients

Locations

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

140 Hazard Ave
Ste 101
Enfield, CT 06082
Phone (860) 763-7635

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

95 Woodland St
#1
Hartford, CT 06105

201 Chestnut Hill Rd
Stafford Springs, CT 06076
Phone (860) 265-6521

233 Carew St
Springfield, MA 01104
Phone (413) 748-6800

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

Interoperability endpoints

  • Direct secure messaging: dfroonjian150266@direct.trinity-health.org

Organizations & group practices 7

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 12

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": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1891079190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 TOLLAND AVE.",
            "city": "STAFFORD SPRINGS",
            "state": "CT",
            "postal_code": "06076",
            "telephone_number": "860-272-2960",
            "fax_number": "860-684-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CHESTNUT HILL RD.",
            "city": "STAFFORD SPRINGS",
            "state": "CT",
            "postal_code": "06076",
            "telephone_number": "860-272-2960",
            "fax_number": "860-684-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROONJIAN",
        "first_name": "DAWN",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "004802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford Springs, CT

Sources for this page

Verify at the official NPI Registry.