Individual provider Active NPI

Tremanda Pollard, AGNP-BC

  • Gerontology Nurse Practitioner
  • Milford, CT
National Provider Identifier
1982427928
Registry record updated Nov 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
14133 Issued in CT
Practice address
20 Commerce Park # 20B-1
Milford, CT 06460-3511
Phone
(203) 951-8360
NPI assigned
Nov 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 14133 CT Primary

Addresses

Primary practice location

20 Commerce Park # 20B-1
Milford, CT 06460-3511

Mailing address

630 Mix Ave Apt 1L
Hamden, CT 06514-2359
Phone (347) 933-8827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14133CTMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Wound Care LLC CurrentSince Nov 9, 2024 Accepting new patients

Locations

20 Commerce Park
Ste 1
Milford, CT 06460
Phone (203) 951-8360

20 Commerce Park
#20B1
Milford, CT 06460
Phone (203) 951-8360

67 Masonic Ave
Ste 2400
Wallingford, CT 06492
Phone (203) 284-3159

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.

NPI Registry JSON

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731110400000",
    "number": "1982427928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 MIX AVE APT 1L",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065142359",
            "telephone_number": "347-933-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 COMMERCE PARK # 20B-1",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603511",
            "telephone_number": "203-951-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLARD",
        "first_name": "TREMANDA",
        "credential": "AGNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-09",
        "certification_date": "2024-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CT",
            "license": "14133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.