KRISTIN D MEHTA


Address: 208 Valley Rd, New Canaan, CT 06840-3812
Phone: 8665424455

KRISTIN D MEHTA (NPI# 1760916761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760916761
Entity Type Individual
Full Name KRISTIN D MEHTA
Other Name KRISTIN D KOSER
Credential AGPCNP
Practice Address 208 Valley Rd
New Canaan
CT 06840-3812
Practice Telephone 8665424455
Mailing Telephone 8665424455
Enumeration Date 2017-04-17
Last Update Date 2020-08-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 8730 CT Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner 7564 WI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI MEDICARE K400387628 01
WI 1760916761 05

Office Location

Street Address 208 VALLEY RD
City NEW CANAAN
State CT
Zip Code 06840-3812

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982658035 Silver Hill Hospital, Inc Psychiatric Hospital 208 Valley Rd, New Canaan, CT 06840-3812 2006-05-22
1366901563 Alexa Pazniokas Olimpio Social Worker 208 Valley Rd, New Canaan, CT 06840-3812 2019-03-18
1265996177 Nicole Sams Social Worker 208 Valley Rd, New Canaan, CT 06840-3812 2019-01-24
1487118485 Effie Feltham Social Worker 208 Valley Rd, New Canaan, CT 06840-3812 2019-01-24
1255817227 Jill Sweeney Social Worker 208 Valley Rd, New Canaan, CT 06840-3812 2018-07-12
1255850749 Jazmin Maldonado Social Worker 208 Valley Rd, New Canaan, CT 06840-3812 2017-09-15
1982121877 Jillian Keyes Social Worker 208 Valley Rd, New Canaan, CT 06840-3812 2017-08-23
1386196889 Micaela Kristin Scully Social Worker 208 Valley Rd, New Canaan, CT 06840-3812 2016-10-31
1184019440 Andre Burey Psychiatry & Neurology 208 Valley Rd, New Canaan, CT 06840-3812 2015-04-03
1275874158 Carolyn Grobe Social Worker 208 Valley Rd, New Canaan, CT 06840-3812 2013-03-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346506060 Mary Fetchet Social Worker 11th, 161 Cherry Street, Voices of September, New Canaan, CT 06840 2012-04-06
1841514429 Todd L Anderson Physical Therapist 45 Grove Street, New Canaan, CT 06840 2010-03-25
1598098667 Catherine Leigh Beeson Dentist 208 South Ave, New Canaan, CT 06840 2009-09-08
1942451893 Breann Sara Erickson Dietitian, Registered 208 Valley Road, New Canaan, CT 06840 2008-10-08
1699987909 Vickie (victoria) Zupa Naturopath 172 East Ave, New Canaan, CT 06840 2007-05-07
1699890723 Philip Flemming Pacelli IIi Oral & Maxillofacial Surgery 166 Cherry Street, Suite A, New Canaan, CT 06840 2007-03-20
1528190121 Rachel Coder Matthews Social Worker 39 Selleck Place, New Canaan, CT 06840 2007-03-09
1598830234 Peter M Shutkin Internal Medicine 173 East Avenue, New Canaan, CT 06840 2006-11-21
1407932544 Sharon J Littzi Specialist Morse Court, New Canaan, CT 06840 2006-10-31
1508940966 Elizabeth J Granfield Social Worker 256 Park St, New Canaan, CT 06840 2006-10-24
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700492006 Mijung Kim Nurse Practitioner 3124 Avalon Dr W, New Canaan, CT 06840-5944 2020-09-22
1568575843 Janet Kranes-fensterstock Nurse Practitioner 36 Grove St, New Canaan, CT 06840 2006-08-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407454234 Luiza Mcdonagh Nurse Practitioner 228 Willow Spgs, New Milford, CT 06776-4367 2020-10-14
1396342051 Michele Lalonde Curiel Nurse Practitioner 55 Glen Pl, Glastonbury, CT 06033-2483 2020-10-06
1396358404 Rachel Elizabeth Paternoster Nurse Practitioner 52 Peck Rd Ste G, Torrington, CT 06790-6107 2020-08-28
1043823347 Yunmin Chen Nurse Practitioner 269 Spring Rd, North Haven, CT 06473 2020-08-26
1881206555 Suzanne Gleichauf Nurse Practitioner 7 Fleetwood Ln, Brookfield, CT 06804-3204 2020-08-23
1477165041 Angelica M. Arteaga-blasio Nurse Practitioner 47 East Ave, Stamford, CT 06902-6116 2020-08-17
1598376162 Jody Kusheba Nurse Practitioner 72 Cottage St, Monroe, CT 06468-2917 2020-08-16
1982213997 Bryan Fix Nurse Practitioner 33 Rugby Rd, Shelton, CT 06484-1683 2020-07-26
1033735378 Carmel M Keaveney Nurse Practitioner 3 Teregram Pl, Westport, CT 06880-2558 2020-06-23
1760007843 Stephanie Jaser Nurse Practitioner 2660 Main St Ste 219, Bridgeport, CT 06606-5301 2020-06-14
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Competitor

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City NEW CANAAN
Zip Code 06840

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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