Active NPI
Kathleen Latronica, P.A.
- Medical Physician Assistant
- Hamden, CT
National Provider Identifier
1902894801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- 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, 2010
- 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 |
|---|---|---|---|---|
| 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.