Individual provider Active NPI

Michelle M Hundt, APRN

  • Family Nurse Practitioner
  • Southbury, CT
National Provider Identifier
1952452872
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
001387 Issued in CT
Practice address
22 Depot Hill Rd
Southbury, CT 06488-2258
Phone
(203) 262-1831
NPI assigned
Jan 16, 2007
Last updated
Mar 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 001387 CT
Family Nurse Practitioner 363LF0000X 001387 CT Primary

Addresses

Primary practice location

22 Depot Hill Rd
Southbury, CT 06488-2258

Mailing address

22 Depot Hill Rd
Southbury, CT 06488-2258
Phone (203) 262-1831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20151016000539 CT Practitioner - Nurse Practitioner 4385953231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peaceful Minds Treatment Center LLCGroup PAC ID 2264952423, 2 clinicians

Practice addresses (Care Compare)

1389 W Main St
Suite 122
Waterbury, CT 06708-3104
Phone (203) 800-1642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Minds Treatment Center LLC CurrentSince Aug 26, 2025 Accepting new patients
Back to Health of Branford, LLC Family Past Accepting new patients

Locations

1389 W Main St
Ste 122
Waterbury, CT 06708
Phone (203) 800-1642

Interoperability endpoints

  • Direct secure messaging: mhundt@landmarkhealth-direct.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1952452872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 DEPOT HILL RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882258",
            "telephone_number": "203-262-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 DEPOT HILL RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882258",
            "telephone_number": "203-262-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNDT",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "001387",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "001387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

Verify at the official NPI Registry.