Active NPI
Visiting Nurse Association of Wallingford Inc
- Dental Clinic/Center
- Wallingford, CT
National Provider Identifier
1902063951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 004767
- Legal business name
- VISITING NURSE ASSOCIATION OF WALLINGFORD INC
- Practice address
- 135 N Plains Industrial Rd
Wallingford, CT 06492-2332 - Phone
- (203) 269-1475
- Fax
- (203) 256-6367
- NPI assigned
- May 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Ellen S Phillips, MSW
- Title
- Executive Director
- Phone
- (203) 269-1475
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 004767 | CT | Primary |
Addresses
Primary practice location
135 N Plains Industrial Rd
Wallingford, CT 06492-2332
Mailing address
135 N Plains Industrial Rd
Wallingford, CT 06492-2332
Phone (203) 269-1475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4042800 | Medicaid | CT |
National Provider Directory
National Provider Directory- Tax ID family
- Visiting Nurse Association of Wallingford Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Wallingford, CT
- NPI 1992962948
-
- Clinical Social Worker
- Wallingford, CT
- NPI 1083927164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211155200000",
"number": "1902063951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 N PLAINS INDUSTRIAL RD",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064922332",
"telephone_number": "203-269-1475",
"fax_number": "203-256-6367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 N PLAINS INDUSTRIAL RD",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064922332",
"telephone_number": "203-269-1475",
"fax_number": "203-256-6367"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISITING NURSE ASSOCIATION OF WALLINGFORD INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-19",
"last_updated": "2008-05-19",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "ELLEN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "203-269-1475",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "CT",
"license": "004767",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4042800",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wallingford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.