Individual provider Active NPI

Lynn Nochisaki, APRN

  • Pediatric Nurse Practitioner
  • Enfield, CT
National Provider Identifier
1902968977
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
002155 Issued in CT
Practice address
150 Hazard Ave # Buildb
Enfield, CT 06082-4575
Phone
(860) 768-3661
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 002155 CT Primary

Addresses

Primary practice location

150 Hazard Ave # Buildb
Enfield, CT 06082-4575

Mailing address

344 Hilton Dr
South Windsor, CT 06074-3459
Phone (860) 290-8226

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
002155CTMDPediatric Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: lynn.nochisaki.1@31837.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1902968977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 HILTON DR",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060743459",
            "telephone_number": "860-290-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HAZARD AVE # BUILDB",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824575",
            "telephone_number": "860-768-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOCHISAKI",
        "first_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "002155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.