Individual provider Active NPI

Stephanie Jessica Dupree, APRN

  • Family Nurse Practitioner
  • New Haven, CT
National Provider Identifier
1982233128
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
019096123 Issued in CT
Practice address
40 Temple St Ste 7B
New Haven, CT 06510-2715
Phone
(203) 785-6060
NPI assigned
Apr 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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 019096123 CT Primary

Addresses

Primary practice location

40 Temple St Ste 7B
New Haven, CT 06510-2715

Mailing address

40 Temple St Ste 7B
New Haven, CT 06510-2715
Phone (203) 785-6060

Other practice location 1

25 Aaron Rd
East Haven, CT 06512-1048
Phone (203) 843-3153

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
I20201029000745 CT Practitioner - Nurse Practitioner 0446660666 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019096123CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Mar 28, 2022 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Mar 28, 2022 Accepting new patients
Yale University CurrentSince Sep 17, 2020 Accepting new patients
Yale University CurrentSince Sep 17, 2020 Accepting new patients
Discovery Health & Wellness Center, LLC Current Accepting new patients

Locations

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

40 Temple St
Ste 7B
New Haven, CT 06510
Phone (203) 737-7114

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

410 State St
North Haven, CT 06473
Phone (203) 288-9887

1000 Asylum Ave
Ste 4302
West Hartford, CT 06105
Phone (860) 714-4270

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": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1982233128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 TEMPLE ST STE 7B",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102715",
            "telephone_number": "203-785-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 TEMPLE ST STE 7B",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102715",
            "telephone_number": "203-785-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Aaron Rd",
            "address_purpose": "LOCATION",
            "city": "East Haven",
            "state": "CT",
            "postal_code": "065121048",
            "country_code": "US",
            "telephone_number": "203-843-3153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPREE",
        "first_name": "STEPHANIE",
        "middle_name": "JESSICA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "019096123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.