Individual provider Active NPI

Alina Marie Schneider, APRN

  • Family Nurse Practitioner
  • Glastonbury, CT
National Provider Identifier
1922445402
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5746 Issued in CT
Practice address
1420 Main St Ste 124
Glastonbury, CT 06033-3110
Phone
(860) 430-5300
NPI assigned
May 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 12.005746 CT
Family Nurse Practitioner 363LF0000X 5746 CT Primary

Addresses

Primary practice location

1420 Main St Ste 124
Glastonbury, CT 06033-3110

Mailing address

1420 Main St Ste 124
Glastonbury, CT 06033-3110
Phone (860) 430-5300

Other identifiers 1

IdentifierTypeStateIssuer
1922445402OtherCTNPI

Other names 1

  • Alina Marie Mazzotta Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alina@innovate-well.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12.005746CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Outcomes, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aschneider@direct-address.org

Organizations & group practices 1

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": "1369353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1922445402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 MAIN ST STE 124",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060333110",
            "telephone_number": "860-430-5300",
            "fax_number": "860-362-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 MAIN ST STE 124",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060333110",
            "telephone_number": "860-430-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "ALINA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-24",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "12.005746",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "5746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1922445402",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alina@innovate-well.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1420 Main St Ste 124",
            "city": "Glastonbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060333110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALINA",
            "last_name": "MAZZOTTA",
            "middle_name": "MARIE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.