Active NPI
Melissa Cowen, RN, BSN, MPH, CDE
- Diabetes Educator Registered Nurse
- Manchester, CT
National Provider Identifier
1891291217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- E52021
- Practice address
- 71 Haynes Street
DSMP, 2ND Floor
Manchester, CT 06040 - Phone
- (860) 647-6824
- Fax
- (860) 533-3417
- NPI assigned
- Apr 4, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | E52021 | CT | Primary |
Addresses
Primary practice location
71 Haynes Street
DSMP, 2ND Floor
Manchester, CT 06040
Mailing address
71 Haynes Street
DSMP, 2ND Floor
Manchester, CT 06040
Phone (860) 647-6824
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E52021 | CT | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522800000000",
"number": "1891291217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 HAYNES STREET",
"address_2": "DSMP, 2ND FLOOR",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "06040",
"telephone_number": "860-647-6824",
"fax_number": "860-533-3417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 HAYNES STREET",
"address_2": "DSMP, 2ND FLOOR",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "06040",
"telephone_number": "860-647-6824",
"fax_number": "860-533-3417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COWEN",
"first_name": "MELISSA",
"credential": "RN, BSN, MPH, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-04",
"last_updated": "2018-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "CT",
"license": "E52021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.