Individual provider Active NPI

Sheena Robbins Wraight, FNP-C

  • Family Nurse Practitioner
  • South Windsor, CT
National Provider Identifier
1992347397
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8398 Issued in CT
Practice address
2701 Tamarack Ave
South Windsor, CT 06074-5562
Phone
(860) 375-5141
NPI assigned
Oct 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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 8398 CT Primary

Addresses

Primary practice location

2701 Tamarack Ave
South Windsor, CT 06074-5562

Mailing address

63 Brookfield Rd
Bolton, CT 06043-7209
Phone (860) 305-5877

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
I20230828003421 CT Order and Referring Only - Nurse Practitioner 1153784814

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8398CTMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: ms_swraight@landmarkhealth-direct.org

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1992347397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 BROOKFIELD RD",
            "city": "BOLTON",
            "state": "CT",
            "postal_code": "060437209",
            "telephone_number": "860-305-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 TAMARACK AVE",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060745562",
            "telephone_number": "860-375-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRAIGHT",
        "first_name": "SHEENA",
        "middle_name": "ROBBINS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Windsor, CT

Sources for this page

Verify at the official NPI Registry.