NPIMap

Organization Active NPI

Mobile Family Health Nurse Practitioner Care PLLC

  • Family Nurse Practitioner
  • Sandy Hook, CT
National Provider Identifier
1942512694
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F333112-1 Issued in NY
Legal business name
MOBILE FAMILY HEALTH NURSE PRACTITIONER CARE PLLC
Practice address
30 Still Hill Rd
Sandy Hook, CT 06482-1313
Phone
(845) 641-7277
Fax
(203) 304-1048
NPI assigned
Jul 10, 2010
Last updated
Mar 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Authorized official

Name
Ms. Ann M. Rhodes, FNPNPI 1598864431
Title
Family Nurse Practitioner
Phone
(845) 641-7277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F333112-1 NY Primary

Addresses

Primary practice location

30 Still Hill Rd
Sandy Hook, CT 06482-1313

Mailing address

30 Still Hill Rd
Sandy Hook, CT 06482-1313
Phone (845) 641-7277

Other identifiers 1

IdentifierTypeStateIssuer
03217461MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1942512694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 STILL HILL RD",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821313",
            "telephone_number": "845-641-7277",
            "fax_number": "203-304-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 STILL HILL RD",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821313",
            "telephone_number": "845-641-7277",
            "fax_number": "203-304-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE FAMILY HEALTH NURSE PRACTITIONER CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-10",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "845-641-7277",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333112-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03217461",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Hook, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.