Headache Care Center PLLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

003107 Issued in CT

Legal business name

HEADACHE CARE CENTER PLLC

Practice address

1741 Ellington Rd Ste 1
South Windsor, CT 06074-2720

Phone

(860) 263-3603

NPI assigned

Apr 3, 2018

Last updated

Apr 3, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Gretchen T. Michaelson, APRNNPI 1508898800

Title

Aprn

Phone

(860) 263-3603

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gretchen Touma Michaelson, APRN

  • Adult Health Nurse Practitioner
  • South Windsor, CT
  • NPI 1508898800
  Medicare reassignment Care Compare group NPD Authorized official
• Annette L Eppler, APRN ANP-C

  • Nurse Practitioner
  • Hartford, CT
  • NPI 1518199769
  Medicare reassignment Care Compare group NPD
• Andrea Dias Murphy, APRN

  • Nurse Practitioner
  • South Windsor, CT
  • NPI 1467709097
  Medicare reassignment Care Compare group NPD
• Jessica Bailey Deblois, APRN, FNP-C

  • Family Nurse Practitioner
  • Nashville, TN
  • NPI 1730768185

  CT

  Medicare reassignment Care Compare group NPD
• Tran Nguyen

  • Family Nurse Practitioner
  • West Hartford, CT
  • NPI 1770054595
  NPD
• Denise McGrath, APRN

  • Nurse Practitioner
  • Lebanon, NH
  • NPI 1104803899
  NPD (past)

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1932605318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 PIERCE RD",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 ELLINGTON RD STE 1",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742720",
            "telephone_number": "860-263-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADACHE CARE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "MICHAELSON",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "860-263-3603",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "003107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500001383",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Manasevit Harris, LCSW
• Lissette Harrison
• Yvonne Therese Hatt
• Anne Marie Haubert, LMFT
• Haven Health Center of South Windsor, LLC
• Healing Passages, LLC
• Heart & Soul Psychiatry
• Sarah Hebert, LPC, LADAC
• Eric Michael Heckt, RPH
• Cynthia B Heller

• Adult Health Nurse Practitioner in South Windsor, CT
• Providers in South Windsor, CT by specialty
• Adult Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.