Individual provider Active NPI

Claudia V Sepot, APRN

  • Adult Health Nurse Practitioner
  • Branford, CT
National Provider Identifier
1962492439
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
002789 Issued in CT
Practice address
11 Harrison Ave
Branford, CT 06405-3607
Phone
(203) 483-8300
Fax
(203) 483-8314
NPI assigned
Oct 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 002789 CT Primary

Addresses

Primary practice location

11 Harrison Ave
Branford, CT 06405-3607

Mailing address

11 Harrison Ave
Branford, CT 06405-3607
Phone (203) 483-8300

Other identifiers 1

IdentifierTypeStateIssuer
004229101MedicaidCT

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
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1962492439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HARRISON AVE",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053607",
            "telephone_number": "203-483-8300",
            "fax_number": "203-483-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HARRISON AVE",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053607",
            "telephone_number": "203-483-8300",
            "fax_number": "203-483-8314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPOT",
        "first_name": "CLAUDIA",
        "middle_name": "V",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "002789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004229101",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.