Active NPI
Katrina Berisha
- Family Nurse Practitioner
- Manchester, CT
National Provider Identifier
1891618484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 13602
- Practice address
- 112 Spencer St Ste 2a
Manchester, CT 06040-4601 - Phone
- (860) 791-8170
- NPI assigned
- Jul 31, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 13602 | CT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
112 Spencer St Ste 2a
Manchester, CT 06040-4601
Mailing address
112 Spencer St Ste 2a
Manchester, CT 06040-4601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 31, 2026.
{
"created_epoch": "1785456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785456000000",
"number": "1891618484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 SPENCER ST STE 2A",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060404601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 SPENCER ST STE 2A",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060404601",
"telephone_number": "860-791-8170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERISHA",
"first_name": "KATRINA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-07-31",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "13602",
"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 Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.