Active NPI
Heather L Phillips, CRNA
- Certified Registered Nurse Anesthetist
- New Britain, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 004328
- Practice address
- 100 Grand St
New Britain, CT 06052-2016 - Phone
- (860) 224-5011
- NPI assigned
- Jun 20, 2006
- Last updated
- Sep 4, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 181281 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 004328 | CT | Primary |
| Registered Nurse | 163W00000X | 092714 | CT |
Addresses
Primary practice location
100 Grand St
New Britain, CT 06052-2016
Mailing address
11781 Lee Jackson Memorial Hwy
Ste 550
Fairfax, VA 22033-3309
Phone (571) 777-5164
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41650 | Other | AANA |
Other names 1
- Heather L Fazakerley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
326 Washington St
Norwich, CT 06360-2740
Phone (860) 282-0833
80 Semour St
Hartford, CT 06106-3315
Phone (860) 972-2117
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4328 | CT | MD | Clinical Social Worker |
| 092714 | CT | MD | Registered Nurse |
| 3088 | SC | MD | Occupational Therapy Assistant |
| 004328 | CT | MD | Pediatric Occupational Therapist |
| 181281 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Gi PLLC | Current | Accepting new patients | |
| North American Partners in Anesthesia Connecticut PC | Current | Accepting new patients | |
| Endoscopy Center of Connecticut, LLC | Current | Accepting new patients | |
| Endoscopy Center of Connecticut, LLC | Current | Accepting new patients | |
| Integrated Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Willis Knighton Medical Center Inc. Crna Group | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Marshall Anesthesia Services, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
2200 Whitney Ave
Ste 380
Hamden, CT 06518
Phone (203) 281-3636
80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249
85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571
300 Seaside Ave
Milford, CT 06460
Phone (203) 876-4000
100 Grand St
New Britain, CT 06052
Phone (860) 224-5011
30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131
2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Shelton, CT
- NPI 1881636397
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Hartford, CT
- NPI 1023124625
-
- Endoscopy Clinic/Center
- Hamden, CT
- NPI 1386757854
-
- Anesthesiology Physician
- Putnam, CT
- NPI 1316994775
-
- Endoscopy Clinic/Center
- Guilford, CT
- NPI 1326131418
-
- Certified Registered Nurse Anesthetist
- Marshall, TX
- NPI 1356353783
Nurse Anesthetist, Certified Registered
-
dba Willis Knighton Anesthesia Services
- Anesthesiology Physician
- Shreveport, LA
- NPI 1174546097
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1467517235
-
- General Acute Care Hospital
- Norwich, CT
- NPI 1639135718
-
- Psychiatric Hospital Unit
- Norwich, CT
- NPI 1730243536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441324800000",
"number": "1932145042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11781 LEE JACKSON MEMORIAL HWY",
"address_2": "STE 550",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220333309",
"telephone_number": "571-777-5164",
"fax_number": "703-890-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 GRAND ST",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060522016",
"telephone_number": "860-224-5011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "HEATHER",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-20",
"last_updated": "2015-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "181281",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "004328",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "092714",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANA",
"identifier": "41650",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "FAZAKERLEY",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New Britain, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.