Individual provider Active NPI

Raphaella Daggett, APRN

  • Family Nurse Practitioner
  • Putnam, CT
National Provider Identifier
1922529098
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7035 Issued in CT
Practice address
320 Pomfret St
Putnam, CT 06260-1836
Phone
(860) 963-6425
NPI assigned
Jun 29, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7035 CT Primary

Addresses

Primary practice location

320 Pomfret St
Putnam, CT 06260-1836

Mailing address

251 Krug Rd
Preston, CT 06365-8004

Other practice location 1

330 Washington St Ste 220
Norwich, CT 06360-2700
Phone (860) 886-8362

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
I20190111000987 CT Practitioner - Nurse Practitioner 9032463591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Connecticut Hematology and Oncology Associates PCGroup PAC ID 3870552094, 13 clinicians

Practice addresses (Care Compare)

330 Washington St
Suite 220
Norwich, CT 06360-2700
Phone (860) 886-8362

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.37 of 100Reported as group
Improvement activities
40
Cost
81.56

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Connecticut Hematology & Oncology Associates PC CurrentSince Sep 23, 2018 Accepting new patients

Locations

330 Washington St
Ste 220
Norwich, CT 06360
Phone (860) 886-8362

Interoperability endpoints

  • Direct secure messaging: raphaella.daggett@xdr.hhchealthdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1922529098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 KRUG RD",
            "city": "PRESTON",
            "state": "CT",
            "postal_code": "063658004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 POMFRET ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601836",
            "telephone_number": "860-963-6425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Washington St Ste 220",
            "address_purpose": "LOCATION",
            "city": "Norwich",
            "state": "CT",
            "postal_code": "063602700",
            "country_code": "US",
            "telephone_number": "860-886-8362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAGGETT",
        "first_name": "RAPHAELLA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "7035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Putnam, CT

Sources for this page

Verify at the official NPI Registry.