Organization Active NPI

Atlantic Blue Partners LLC

  • Durable Medical Equipment & Medical Supplies
  • Manchester, CT
National Provider Identifier
1922034677
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ATLANTIC BLUE PARTNERS LLC
Practice address
534 Middle Tpke E
Manchester, CT 06040-3745
Phone
(860) 643-9232
Fax
(860) 256-4798
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Daphne Dristy
Title
Owner & Operator
Phone
(860) 643-9232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

534 Middle Tpke E
Manchester, CT 06040-3745

Mailing address

534 Middle Tpke E
Manchester, CT 06040-3745
Phone (860) 643-9232

Other names 1

  • Viels' Healthy Soles Doing business as

National Provider Directory

National Provider Directory

Locations

534 Middle Tpke E
Manchester, CT 06040
Phone (860) 643-9232

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922034677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 MIDDLE TPKE E",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060403745",
            "telephone_number": "860-643-9232",
            "fax_number": "860-256-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 MIDDLE TPKE E",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060403745",
            "telephone_number": "860-643-9232",
            "fax_number": "860-256-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC BLUE PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DRISTY",
        "authorized_official_first_name": "DAPHNE",
        "authorized_official_title_or_position": "OWNER & OPERATOR",
        "authorized_official_telephone_number": "860-643-9232"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Viels' Healthy Soles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.