Cam Aprn Practice LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CAM APRN PRACTICE LLC

Doing business as

Cam Aprn Practice LLC

Practice address

246 Wolcott Rd Second Floor
Wolcott, CT 06716-1000

Phone

(203) 879-5504

Fax

(203) 706-4233

NPI assigned

Jun 13, 2023

Last updated

Sep 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Linda Dalessio, EDD APRN BCNPI 1518080175

Title

Owner

Phone

(230) 879-5504

Specialties & licenses 2

Addresses

Other names 1

• CAM APRN PRACTICE LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Linda Dalessio, APRN

  • Nurse Practitioner
  • Wolcott, CT
  • NPI 1518080175
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1992489561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 WOLCOTT RD STE 2",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162641",
            "telephone_number": "203-879-5504",
            "fax_number": "203-706-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 WOLCOTT RD SECOND FLOOR",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067161000",
            "telephone_number": "203-879-5504",
            "fax_number": "203-706-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAM APRN PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "DALESSIO",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "230-879-5504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD APRN BC"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAM APRN PRACTICE LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CAM APRN PRACTICE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelsey S Brennan
• Jonathan Brito
• Karen L Brown
• Alessandra Buonopane, M.D.
• Nicole Butkus, RPT
• Donna Carangelo, LADC
• Melinda S. Carter, RPH
• Victor Castillo
• CDM Counseling & Consultation Services, LLC
• Serena Sue Charbonneau, LCSW

• Primary Care Clinic/Center in Wolcott, CT
• Providers in Wolcott, CT by specialty
• Primary Care Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.