Individual provider Active NPI

Viktoriya Anatolievna Stork, APRN

  • Family Nurse Practitioner
  • West Hartford, CT
National Provider Identifier
1891278529
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7850 Issued in CT
Practice address
35 Danforth LN
West Hartford, CT 06110-2436
Phone
(860) 987-7341
NPI assigned
Sep 10, 2018
Last updated
Oct 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7850 CT Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 7850 CT
Family Medicine Physician 207Q00000X 7850 CT

Addresses

Primary practice location

35 Danforth LN
West Hartford, CT 06110-2436

Mailing address

35 Danforth LN
West Hartford, CT 06110-2436
Phone (860) 987-7341

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
I20181116000625 CT Practitioner - Nurse Practitioner 5597019224 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hebrew Home and Hospital IncGroup PAC ID 1759279961, 7 clinicians
Waire LLCGroup PAC ID 4183782360, 3 clinicians

Practice addresses (Care Compare)

1 Abrahms Blvd
West Hartford, CT 06117-1508
Phone (860) 218-2300

16 Main St
Ellington, CT 06029-3360
Phone (860) 871-5402

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7850CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Intercommunity, Inc. Current Accepting new patients
Hebrew Home and Hospital, Inc CurrentSince Jan 20, 2023 Accepting new patients
Hebrew Home and Hospital Inc CurrentSince Jan 20, 2023 Accepting new patients
Waire LLC CurrentSince Dec 15, 2025 Accepting new patients
Intercommunity, Inc. CurrentSince Mar 29, 2022 Accepting new patients

Locations

281 Main St
East Hartford, CT 06118
Phone (860) 291-1335

16 Main St
Ellington, CT 06029
Phone (860) 871-0220

16 Coventry St
Hartford, CT 06112
Phone (860) 714-3701

800 Connecticut Blvd
Fl 4
Hartford, CT 06108
Phone (860) 622-5451

1 Abrahms Blvd
West Hartford, CT 06117
Phone (860) 218-2300

Organizations & group practices 5

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 5

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": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1891278529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 DANFORTH LN",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061102436",
            "telephone_number": "860-987-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 DANFORTH LN",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061102436",
            "telephone_number": "860-987-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORK",
        "first_name": "VIKTORIYA",
        "middle_name": "ANATOLIEVNA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "7850",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "7850",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "7850",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.