Eileen Pond Levine, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

002617 Issued in CT

Practice address

455 Chase Pkwy FL 3
Waterbury Hospital
Waterbury, CT 06708-3352

Phone

(203) 578-3940

Fax

(203) 573-1527

NPI assigned

Aug 12, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: epondlevine@direct.wtbyhosp.org

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1912909524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 CHASE PKWY FL 3",
            "address_2": "WATERBURY HOSPITAL",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083352",
            "telephone_number": "203-578-3940",
            "fax_number": "203-573-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 CHASE PKWY FL 3",
            "address_2": "WATERBURY HOSPITAL",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083352",
            "telephone_number": "203-578-3940",
            "fax_number": "203-573-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "EILEEN",
        "middle_name": "POND",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-12",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "002617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004242963",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Letko, PA-C
• Andrew Joseph Levada, MD
• Christopher C. Leveille, PSY. D.
• Robert I Leventhal, MD
• Esther Lever, M.A., CCC-SLP
• Keyndra Lewis, LMFT
• Michael Lewis, PHARMD
• I-Hsun Liang, M.D.
• Taylor Libera, LCSW
• Arlen I Lichter, MD

• Nurse Practitioner in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.