Active NPI
Martha Shamy Maniscalco, APRN, FNP
- Family Nurse Practitioner
- Hartford, CT
National Provider Identifier
1952593782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 003623
- Practice address
- 300 Summit St
Hartford, CT 06106-3100 - Phone
- (860) 297-2018
- Fax
- (860) 297-2020
- NPI assigned
- Aug 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 003623 | CT | |
| Family Nurse Practitioner | 363LF0000X | 003623 | CT | Primary |
Addresses
Primary practice location
300 Summit St
Hartford, CT 06106-3100
Mailing address
300 Summit St
Hartford, CT 06106-3100
Phone (860) 297-2018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008023694 | Medicaid | CT |
Other names 1
- Martha Maria Shamy
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003623 | CT | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- Farmington, CT
- NPI 1720140221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458086400000",
"number": "1952593782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SUMMIT ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063100",
"telephone_number": "860-297-2018",
"fax_number": "860-297-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SUMMIT ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063100",
"telephone_number": "860-297-2018",
"fax_number": "860-297-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANISCALCO",
"first_name": "MARTHA",
"middle_name": "SHAMY",
"credential": "APRN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-15",
"last_updated": "2016-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "003623",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "003623",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008023694",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARTHA",
"last_name": "SHAMY",
"middle_name": "MARIA",
"credential": "FNP, APRN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.