Active NPI
Maura Meehan
- Registered Nurse
- Derby, CT
National Provider Identifier
1992384606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 148456
- Practice address
- 130 Division St
Derby, CT 06418-1326 - Phone
- (203) 343-7724
- NPI assigned
- Apr 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 148456 | CT | Primary |
Addresses
Primary practice location
130 Division St
Derby, CT 06418-1326
Mailing address
30 Turnor Ave
Hamden, CT 06517
Phone (203) 909-0147
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Derby | Other |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 148456 | CT | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1992384606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 TURNOR AVE",
"city": "HAMDEN",
"state": "CT",
"postal_code": "06517",
"telephone_number": "203-909-0147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 DIVISION ST",
"city": "DERBY",
"state": "CT",
"postal_code": "064181326",
"telephone_number": "203-343-7724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEEHAN",
"first_name": "MAURA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-08",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "148456",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Derby",
"affiliation": "N",
"endpointDescription": "work email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Derby",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Derby",
"address_1": "130 Division St",
"city": "Derby",
"state": "CT",
"country_code": "US",
"postal_code": "064181326",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Derby, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.