NPIMap

Organization Active NPI

Sanford Linn LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Ellington, CT
National Provider Identifier
1912448465
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
002192 Issued in CT
Legal business name
SANFORD LINN LLC
Practice address
4 West Rd
#6
Ellington, CT 06029-4247
Phone
(860) 967-0601
Fax
(888) 709-4822
NPI assigned
Mar 16, 2017
Last updated
Mar 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

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

Authorized official

Name
Craig Alan Smith, APRNNPI 1023181534
Title
Ceo
Phone
(860) 748-2222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 002192 CT
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 002192 CT Primary

Addresses

Primary practice location

4 West Rd
#6
Ellington, CT 06029-4247

Mailing address

29 The Laurels
Enfield, CT 06082-2349
Phone (860) 748-2222

National Provider Directory

National Provider Directory

Locations

4 West Rd
#6
Ellington, CT 06029
Phone (860) 375-8440

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1912448465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 THE LAURELS",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060822349",
            "telephone_number": "860-748-2222",
            "fax_number": "860-506-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WEST RD",
            "address_2": "#6",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060294247",
            "telephone_number": "860-967-0601",
            "fax_number": "888-709-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD LINN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "860-748-2222",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "002192",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "002192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.