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IMPACT HEALTH P.C. NPI 1730694316


NPI Information

NPI: 1730694316
Provider Name: IMPACT HEALTH P.C.
Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization
Address:
14 WESTPORT AVE
NORWALK, CT
ZIP 06851
Phone: (000) 000-0000
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IMPACT HEALTH P.C. is a nurse practitioner in Norwalk, CT. The provider is (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. IMPACT HEALTH P.C. NPI is 1730694316. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14 WESTPORT AVE
NORWALK, CT
ZIP 06851
Phone: (000) 000-0000

The provider's authorized official is Garumuni A. Desilva .
The authorized official title is Authorized Person and has the following contact phone number (203) 988-0766.

The enumeration date for this NPI number is 12/5/2017 and was last updated on 7/11/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerNo
2101YM0800XCounselorMental HealthNo
3103TB0200XPsychologistCognitive & BehavioralNo
4103TC0700XPsychologistClinicalNo
5103TC1900XPsychologistCounselingNo
6207R00000XInternal MedicineNo
7207R00000XInternal MedicineCONNECTICUTNo
8251J00000XNursing CareNo
9363LA2200XNurse PractitionerAdult HealthNo
10363LF0000XNurse PractitionerFamilyNo
11363LG0600XNurse PractitionerGerontologyNo
12363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
13363L00000XNurse PractitionerCONNECTICUTYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.