Carolyn Rose Levy, APRN

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

9157 Issued in CT

Practice address

299 Washington Ave Ste LL
Hamden, CT 06518-3039

Phone

(203) 288-4288

Fax

(203) 288-1566

NPI assigned

Jul 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: carolyn.levy.1@7895.direct.athenahealth.com

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.

• Children'S Medical Group, LLC

  • Pediatrics Physician
  • Hamden, CT
  • NPI 1588603997
  NPD (past)
• T.L.C. Pediatrics, LLC

  • Pediatrics Physician
  • Norwalk, CT
  • NPI 1801073176
  NPD (past)

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1922626654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 WASHINGTON AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183026",
            "telephone_number": "203-288-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 WASHINGTON AVE STE LL",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183039",
            "telephone_number": "203-288-4288",
            "fax_number": "203-288-1566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Hemlock Hollow Rd",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "CT",
            "postal_code": "065251314",
            "country_code": "US",
            "telephone_number": "203-435-0179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVY",
        "first_name": "CAROLYN",
        "middle_name": "ROSE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "080929",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "9157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "carolyn@tlcpeds.org",
            "affiliation": "N",
            "endpointDescription": "practice email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10 Mott Ave Ste 2A",
            "city": "Norwalk",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068503320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carolyn.levy.1@7895.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "299 Washington Ave Ste Ll",
            "city": "Hamden",
            "state": "CT",
            "country_code": "US",
            "postal_code": "065183039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robin B Levine Ritterman, ND
• Noah Alexander Levit, M.D., PH.D.
• Beth Levitan, APRN
• Amanda Meisel Levitt, ND
• Joshua P Levitt, ND
• Meghan Lewis, ATC, LAT
• Shaneika Kimberley Lewis
• Tara Anne Lewis, MOT, OTR/L
• Meredith Libby, BCBA
• Naomi Libby, M.D.

• Pediatric Nurse Practitioner in Hamden, CT
• Providers in Hamden, CT by specialty
• Pediatric Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.