Individual provider Active NPI

Sarah Faith Walsh, APRN, FNP-BC

  • Family Nurse Practitioner
  • Waterbury, CT
National Provider Identifier
1922253483
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
003945 Issued in CT
Practice address
2247 E Main St
Suite 103
Waterbury, CT 06705-2604
Phone
(203) 757-3486
Fax
(203) 757-3723
NPI assigned
Nov 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 003945 CT
Family Nurse Practitioner 363LF0000X 003945 CT Primary

Addresses

Primary practice location

2247 E Main St
Suite 103
Waterbury, CT 06705-2604

Mailing address

387 Quaker Farms Rd
Oxford, CT 06478-1303
Phone (203) 704-1075

Other identifiers 1

IdentifierTypeStateIssuer
1922253483MedicaidCT

Other names 1

  • Ms. Sarah Faith Bryan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090109000464 CT Practitioner - Nurse Practitioner 1658434170 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
003945CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Care Beyond Medicine PLLC CurrentSince Jul 14, 2022 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Dec 19, 2021 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Dec 19, 2021 Accepting new patients
NP Care, LLC Past Accepting new patients

Locations

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

2247 E Main St
Ste 103
Waterbury, CT 06705
Phone (203) 527-7269

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

503 Wolcott Rd
Ste 3
Wolcott, CT 06716
Phone (203) 879-3646

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1922253483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 QUAKER FARMS RD",
            "city": "OXFORD",
            "state": "CT",
            "postal_code": "064781303",
            "telephone_number": "203-704-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2247 E MAIN ST",
            "address_2": "SUITE 103",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067052604",
            "telephone_number": "203-757-3486",
            "fax_number": "203-757-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "SARAH",
        "middle_name": "FAITH",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "003945",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "003945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922253483",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "BRYAN",
            "middle_name": "FAITH",
            "prefix": "MS.",
            "credential": "APRN, FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.