Allison Dussault, NP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

5773 Issued in CT

Practice address

32 Chicago Ave
Groton, CT 06340-4962

Phone

(860) 629-8272

NPI assigned

Jul 3, 2014

Last updated

Mar 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• General Dynamics

  • Occupational Medicine Clinic/Center
  • Groton, CT
  • NPI 1134468143
  NPD (past)

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1932515459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CHICAGO AVE",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404962",
            "telephone_number": "860-629-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CHICAGO AVE",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404962",
            "telephone_number": "860-629-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSSAULT",
        "first_name": "ALLISON",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "5773",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CT",
            "license": "5773",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CT",
            "license": "5773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Drugan, LMFT
• Joshua Dubbs, SUBMARINE IDC, USN
• Emile Dulcine, LICENSED OPTICIAN
• Melanie Nicole Duranti, LCSW
• Rebecca Lynne Durfee, PT
• Andrew Dye, IDC
• Eric Dyson Jr.
• East West Chiropractic, LLC
• Eastern Connecticut Dermatology PC
• Robert B. Ecker, MD

• Primary Care Nurse Practitioner in Groton, CT
• Providers in Groton, CT by specialty
• Primary Care Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.