Individual provider Active NPI

Maria Haslip

  • Primary Care Nurse Practitioner
  • Glastonbury, CT
National Provider Identifier
1942829015
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
8952 Issued in CT
Practice address
320 Western Blvd Ste 104
Glastonbury, CT 06033-1276
Phone
(860) 633-2487
Fax
(860) 633-1793
NPI assigned
Apr 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2351869 MA
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 153490 CT
Adult Health Nurse Practitioner 363LA2200X 8952 CT
Primary Care Nurse Practitioner 363LP2300X RN2351869 MA
Primary Care Nurse Practitioner 363LP2300X 8952 CT Primary

Addresses

Primary practice location

320 Western Blvd Ste 104
Glastonbury, CT 06033-1276

Mailing address

896 Long Hill Rd
Middletown, CT 06457-5063
Phone (860) 992-9226

Other practice location 1

896 Long Hill Rd
Middletown, CT 06457-5063
Phone (860) 992-9226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201113000348 CT Practitioner - Nurse Practitioner 6800206236 Reassigns benefits to 1 organization
I20211006002432 MA Practitioner - Nurse Practitioner 6800206236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prohealth Physicians PCGroup PAC ID 1355246950, 214 clinicians

Practice addresses (Care Compare)

320 Western Blvd
Suite 104
Glastonbury, CT 06033-1276
Phone (860) 633-1008

Hospital & facility affiliations

  • Hartford Healthcare at Home Home health agency, East Hartford, CT, CCN 077041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
153490CTMDRegistered Nurse
8952CTMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Physicians PC Multi-Specialty CurrentSince Dec 2, 2024 Accepting new patients
Lswhb LLC Multi-Specialty CurrentSince Nov 1, 2024 Accepting new patients
Riverbend Medical Group, Inc CurrentSince Oct 18, 2021 Accepting new patients
Hartford Hospital Multi-Specialty CurrentSince Aug 31, 2020 Accepting new patients
Riverbend Medical Group, Inc. Multi-Specialty CurrentSince Oct 18, 2021 Accepting new patients
Hartford Hospital Multi-Specialty CurrentSince Aug 31, 2020 Accepting new patients

Locations

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

320 Western Blvd
Ste 104
Glastonbury, CT 06033
Phone (860) 633-2487

320 Western Blvd
#104
Glastonbury, CT 06033
Phone (860) 633-6832

85 Retreat Ave
Hartford, CT 06106
Phone (860) 249-6291

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

230 Main St
Agawam, MA 01001
Phone (413) 733-6700

271 Carew St
Springfield, MA 01104
Phone (413) 748-9000

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1942829015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "896 LONG HILL RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575063",
            "telephone_number": "860-992-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WESTERN BLVD STE 104",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331276",
            "telephone_number": "860-633-2487",
            "fax_number": "860-633-1793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "896 Long Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "CT",
            "postal_code": "064575063",
            "country_code": "US",
            "telephone_number": "860-992-9226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASLIP",
        "first_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2351869",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "153490",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "8952",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2351869",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CT",
            "license": "8952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.