Authurine Hannam-Davis, A.P.R.N

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6682 Issued in CT

Practice address

300 Church Street, Ste 103
Wallingford, CT 06492-6608

Phone

(860) 994-7339

NPI assigned

Aug 30, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fair Haven Community Health Clinic IncGroup PAC ID 4183511538, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elara Caring Home health agency, Rocky Hill, CT, CCN 077163
• Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fair Haven Community Health Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • New Haven, CT
  • NPI 1104803444
  Medicare reassignment Care Compare group NPD
• Regenerise Health LLC

  • Clinic/Center
  • Wallingford, CT
  • NPI 1083317390

  Family

  Medicare reassignment NPD Authorized official
• Careconnectmd Connecticut PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Stamford, CT
  • NPI 1467187336
  Medicare reassignment NPD
• Regenerise Health LLC

  • Health Service Clinic/Center
  • Yalesville, CT
  • NPI 1154016160
  NPD Authorized official
• Fair Haven Community Health Clinic, Inc

  • Federally Qualified Health Center (FQHC)
  • New Haven, CT
  • NPI 1043679863
  NPD
• Fair Haven Community Health Clinic, Inc

  • Community/Retail Pharmacy
  • Branford, CT
  • NPI 1760051486
  NPD

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

• New England Home Care Inc.

  • Home Health Agency
  • Rocky Hill, CT
  • NPI 1255333597
  Care Compare affiliation
• Yale New Haven Hospital

  • General Acute Care Hospital
  • New Haven, CT
  • NPI 1336139500
  Care Compare affiliation
• Yale New Haven Hospital

  • General Acute Care Hospital
  • New Haven, CT
  • NPI 1578778726
  Care Compare affiliation

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1891241873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CHURCH ST STE 103",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922253",
            "telephone_number": "203-994-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CHURCH STREET, STE 103",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064926608",
            "telephone_number": "860-994-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAM-DAVIS",
        "first_name": "AUTHURINE",
        "name_prefix": "Mrs.",
        "credential": "A.P.R.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CT",
            "license": "6682",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "6682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Hajjar, OTR
• Betsy Ann Hally, L.P.N.
• Laura Ann Halovatch, M.S., CCC/SLP
• Christa Jeanne Hammarstrom, LPTA
• Hands on Rehab Center
• Toshimi Haraguni
• James Joseph Harkin Jr., DPT
• Daniel Harrigan, PT
• Patty Elaine Harris, A.P.R.N.
• Ruth Ellen Harris, CCDC, CEAP, SAP

• Family Nurse Practitioner in Wallingford, CT
• Providers in Wallingford, 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 Oct 22, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.