Active NPI
Fabian Steele
- Home Health Clinical Nurse Specialist
- Hamden, CT
National Provider Identifier
1942919709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Clinical Nurse Specialist
- License
- HCA.0001544
- Practice address
- 64 Marlboro St
Hamden, CT 06517-3126 - Phone
- (800) 593-5669
- NPI assigned
- Nov 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Clinical Nurse Specialist | 364SH0200X | HCA.0001544 | CT | Primary |
Addresses
Primary practice location
64 Marlboro St
Hamden, CT 06517-3126
Mailing address
64 Marlboro St
Hamden, CT 06517-3126
Phone (800) 593-5669
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274-06-5205 | Other | CT | N/P |
| 274065205 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HCA.0001544 | CT | MD | Home Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1942919709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 MARLBORO ST",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065173126",
"telephone_number": "800-593-5669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 MARLBORO ST",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065173126",
"telephone_number": "800-593-5669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEELE",
"first_name": "FABIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-21",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "364SH0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Home Health",
"state": "CT",
"license": "HCA.0001544",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/P",
"identifier": "274-06-5205",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "274065205",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.