Individual provider Active NPI

Nichole Bigdeliazari, APRN

  • Family Nurse Practitioner
  • Avon, CT
National Provider Identifier
1972323293
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12.014003 Issued in CT
Practice address
1 Darling Dr
Avon, CT 06001-4277
Phone
(860) 404-2137
NPI assigned
Oct 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12.014003 CT Primary

Addresses

Primary practice location

1 Darling Dr
Avon, CT 06001-4277

Mailing address

1717 Highcroft PL
Weatogue, CT 06089-7923
Phone (508) 395-3918

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
I20241223002156 CT Practitioner - Nurse Practitioner 9335676865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Starling Physicians, PLLCGroup PAC ID 7517863749, 276 clinicians

Practice addresses (Care Compare)

300 Kensington Ave
New Britain, CT 06051-3916
Phone (860) 258-3480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12.014003CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Physicians PLLC CurrentSince Oct 11, 2024 Accepting new patients
Starling Physicians, PLLC CurrentSince Oct 11, 2024 Accepting new patients
Starling Physicians, PLLC Past Accepting new patients
Starling Physicians, PLLC Past Accepting new patients

Locations

100 Simsbury Rd
Avon, CT 06001
Phone (860) 659-8830

1 Darling Dr
Avon, CT 06001
Phone (203) 691-9899

533 Cottage Grove Rd
Bloomfield, CT 06002
Phone (860) 696-2820

300 Kensington Ave
New Britain, CT 06051
Phone (860) 224-6200

1210 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 721-5731

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1972323293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 HIGHCROFT PL",
            "city": "WEATOGUE",
            "state": "CT",
            "postal_code": "060897923",
            "telephone_number": "508-395-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DARLING DR",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014277",
            "telephone_number": "860-404-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIGDELIAZARI",
        "first_name": "NICHOLE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "12.014003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

Verify at the official NPI Registry.