Individual provider Active NPI

Kathleen Latronica, P.A.

  • Medical Physician Assistant
  • Hamden, CT
National Provider Identifier
1902894801
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
2408 Whitney Ave
Hamden, CT 06518-3209
Phone
(203) 407-3500
Fax
(203) 281-1164
NPI assigned
Oct 13, 2005
Last updated
Apr 16, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU Primary
Surgical Physician Assistant 363AS0400X 000709 CT

Addresses

Primary practice location

2408 Whitney Ave
Hamden, CT 06518-3209

Mailing address

2408 Whitney Ave
Hamden, CT 06518-3209
Phone (203) 407-3500

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
Credentials
Physician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271376000000",
    "number": "1902894801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183209",
            "telephone_number": "203-407-3500",
            "fax_number": "203-281-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183209",
            "telephone_number": "203-407-3500",
            "fax_number": "203-281-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATRONICA",
        "first_name": "KATHLEEN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2010-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "000709",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.