Christina Nithda Bouaphone, APRN
Individual provider Active NPI Nurse Practitioner · Wethersfield, CT
NPI 1962358069 · NPPES record last updated Mar 10, 2026
Key facts
- NPI
- 1962358069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 14526 (CT)
- Practice address
- 988 Silas Deane Hwy
Wethersfield, CT 06109-4227 - Phone
- (860) 493-1950
- Fax
- (860) 493-1961
- NPI assigned
- Mar 10, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Connecticut Ear, Nose and Throat Associates, P.C.
Practice addresses (Care Compare)
988 Silas Deane Hwy
Wethersfield, CT 06109-4227
Phone (860) 493-1950
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260519002506 | CT | Practitioner - Nurse Practitioner | 9537638572 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14526 | CT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Ear, Nose & Throat Associates, P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 14526 | CT | Yes |
Addresses
Primary practice location
988 Silas Deane Hwy
Wethersfield, CT 06109-4227
Mailing address
988 Silas Deane Hwy
Wethersfield, CT 06109-4227
Phone (860) 493-1950
Other practice location 1
249 Main St
Wethersfield, CT 06109-1822
Phone (860) 506-0050
Other practice location 2
300 Queen St
Southington, CT 06489-1900
Phone (866) 493-1950
Other providers in Wethersfield, CT
- Joan E Biagioni
- Lisa E Bianchi
- Kristine Faulknham Birdsall
- BKFG Patient Care Solutions
- Tamika Blackburn
- Alicia Bravo
- Brighid Brennan
- Deborah Ann Broadley
- Rohan Brown
- Thomas Andrew Brown
All providers in Wethersfield, CT · Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.