Individual provider Active NPI

Sheri Kipperman, A.P.R.N.

  • Adult Health Nurse Practitioner
  • Southbury, CT
National Provider Identifier
1952496671
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
003017 Issued in CT
Practice address
335 Kettletown Rd
Southbury, CT 06488-2637
Phone
(203) 565-1325
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 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 003017 CT
Adult Health Nurse Practitioner 363LA2200X 003017 CT Primary

Addresses

Primary practice location

335 Kettletown Rd
Southbury, CT 06488-2637

Mailing address

335 Kettletown Rd
Southbury, CT 06488-2637
Phone (203) 565-1325

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
I20050411000506 CT Practitioner - Nurse Practitioner 3870530959 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Impact Health PCGroup PAC ID 0941562664, 79 clinicians

Practice addresses (Care Compare)

240 Indian River Rd
Suite C
Orange, CT 06477-3649
Phone (203) 497-3861

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
003017CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Psychological Services LLC CurrentSince Aug 1, 2018 Accepting new patients
Impact Health P.C. Nurse Practitioner CurrentSince Apr 9, 2019 Accepting new patients
Step Up Care PC LLC CurrentSince Apr 22, 2019 Accepting new patients
Absolute Outcomes, LLC Past Accepting new patients

Locations

2428 Easton Tpke
Fairfield, CT 06825
Phone (203) 202-2125

55 Grand St
New Britain, CT 06052
Phone (845) 459-5767

240 Indian River Rd
Ste C
Orange, CT 06477
Phone (203) 497-3867

240 Indian River Rd
Ste B7
Orange, CT 06477
Phone (203) 298-9828

177 Whitewood Rd
Waterbury, CT 06708
Phone (203) 707-5800

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 4

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1952496671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 KETTLETOWN RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882637",
            "telephone_number": "203-565-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 KETTLETOWN RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882637",
            "telephone_number": "203-565-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIPPERMAN",
        "first_name": "SHERI",
        "credential": "A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "003017",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "003017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

Verify at the official NPI Registry.