MR. SHAWN ROBERT PUTNAM NP NPI 1033150719

NPI Information

NPI: 1033150719
Provider Name: MR. SHAWN ROBERT PUTNAM, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
440 NEW BRITAIN AVE
PLAINVILLE, CT
ZIP 06062
Phone: (860) 793-0500
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MR. Shawn Robert Putnam, NP is a family nurse practitioner in Plainville, CT. MR. Shawn Robert Putnam, NP NPI is 1033150719. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

440 NEW BRITAIN AVE
PLAINVILLE, CT
ZIP 06062-036
Phone: (860) 793-0500
Fax: (860) 793-1116

The NPI 1033150719 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 1/29/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	257127	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3V3059	OTHER	CONNECTICUT	HEALTHNET PROVIDER #
2	1033150719	OTHER	CONNECTICUT	MEDICARE NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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