Active NPI
Janice Myers
- Family Nurse Practitioner
- West Haven, CT
National Provider Identifier
1902314370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 7441
- Practice address
- 687 Campbell Ave
West Haven, CT 06516-3774 - Phone
- (203) 932-6481
- NPI assigned
- Jan 18, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 007441 | CT | |
| Family Nurse Practitioner | 363LF0000X | 7441 | CT | Primary |
Addresses
Primary practice location
687 Campbell Ave
West Haven, CT 06516-3774
Mailing address
322 E Main St
Branford, CT 06405-3136
Phone (203) 488-7228
Other practice location 1
322 E Main St
Branford, CT 06405-3136
Phone (203) 488-7228
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | janice.myers.p4@direct.pact.nextgenshare.com | Health Information Exchange (HIE) |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007441 | CT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602115200000",
"number": "1902314370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 E MAIN ST",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064053136",
"telephone_number": "203-488-7228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "687 CAMPBELL AVE",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065163774",
"telephone_number": "203-932-6481"
}
],
"practiceLocations": [
{
"address_1": "322 E Main St",
"address_purpose": "LOCATION",
"city": "Branford",
"state": "CT",
"postal_code": "064053136",
"country_code": "US",
"telephone_number": "203-488-7228",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYERS",
"first_name": "JANICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-18",
"last_updated": "2020-10-08",
"certification_date": "2020-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "007441",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "7441",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "janice.myers.p4@direct.pact.nextgenshare.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "687 Campbell Ave",
"city": "West Haven",
"state": "CT",
"country_code": "US",
"postal_code": "065163774",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.