Active NPI
Clarice Begemann, APRN
- Family Nurse Practitioner
- New Haven, CT
National Provider Identifier
1902900053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10
- Practice address
- 374 Grand Avenue
Fair Haven Community Health Ctr
New Haven, CT 06513 - Phone
- (203) 777-7411
- Fax
- (203) 777-8506
- NPI assigned
- Sep 11, 2006
- Last updated
- Sep 27, 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 |
|---|---|---|---|---|
| Community Health Nurse Practitioner | 363LC1500X | 000010 | CT | |
| Family Nurse Practitioner | 363LF0000X | 10 | CT | Primary |
Addresses
Primary practice location
374 Grand Avenue
Fair Haven Community Health Ctr
New Haven, CT 06513
Mailing address
374 Grand Ave
New Haven, CT 06513-3733
Phone (203) 777-7411
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004185064 | Medicaid | CT | |
| 183874 | Other | PREFERRED ONE | |
| 100010 | Other | CT CARE | |
| P3588922 | Other | OXFORD |
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 |
|---|---|---|---|
| 000010 | CT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538006400000",
"number": "1902900053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "374 GRAND AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065133733",
"telephone_number": "203-777-7411",
"fax_number": "203-777-8506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "374 GRAND AVENUE",
"address_2": "FAIR HAVEN COMMUNITY HEALTH CTR",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06513",
"telephone_number": "203-777-7411",
"fax_number": "203-777-8506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEGEMANN",
"first_name": "CLARICE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-11",
"last_updated": "2018-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LC1500X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Community Health",
"state": "CT",
"license": "000010",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "10",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004185064",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "183874",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT CARE",
"identifier": "100010",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3588922",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.