TAMANNA RAHMAN APRN CPRP NPI 1790067395

NPI Information

NPI: 1790067395
Provider Name: TAMANNA RAHMAN, APRN, CPRP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
270 CONGRESS AVE
NEW HAVEN, CT
ZIP 06519
Phone: (203) 764-9995
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Tamanna Rahman, APRN, CPRP is a psychiatric/mental health nurse practitioner in New Haven, CT. Tamanna Rahman, APRN, CPRP NPI is 1790067395. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

270 CONGRESS AVE
NEW HAVEN, CT
ZIP 06519
Phone: (203) 764-9995

The NPI 1790067395 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 9/9/2011 and was last updated on 3/7/2023.

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	163W00000X	Registered Nurse		122042	CONNECTICUT	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	6582	CONNECTICUT	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	13872963	OTHER	CONNECTICUT	CAQH
2	CSP.0063703	OTHER	CONNECTICUT	CONTROLLED SUBSTANCE REGISTRATION FOR PRACTICIONER
3	PENDING	OTHER	CONNECTICUT	MANAGED HEALTH NETWORK/MHN
4	PENDING	OTHER	CONNECTICUT	CIGNA BEHAVIORAL HEALTH
5	060669107	OTHER	CONNECTICUT	OPTUM BEHAVIORAL HEALTH/UBH WELLMORE GRP/FACILITY
6	060669107	OTHER	CONNECTICUT	CONNECTICARE/UBH WELLMORE GRP/FACILITY
7	PENDING	OTHER	CONNECTICUT	AETNA BEHAVIORAL HEALTH
8	PENDING	OTHER	CONNECTICUT	MHN/TRICARENORTH
9	PMHNP-BC 2016011186	OTHER	CONNECTICUT	COMMISSION ON CERTIFICATION ANCC-PSYCHIATRIC MENTAL HEALTH NURSE PRACCTIITIONER
10	060669107	OTHER	CONNECTICUT	HEALTHYCT WELLMORE GRP/FACILITY
11	060669107	OTHER	CONNECTICUT	UNITED HEALTHCARE/UBH WELLMORE GRP/FACILITY
12	4887750	OTHER	CONNECTICUT	CERTIFIED PSYCHIATRIC REHABILITIATION PRACTITIONER
13	PENDING	MEDICAID	CONNECTICUT
14	060669107	OTHER	CONNECTICUT	ANTHEM BEHAVIORAL HEALTH GRP/FACILITY
15	060669107	OTHER	CONNECTICUT	LIBERTY/OXFORD FREEDOM PLANS/UBH WELLMORE GRP/FACILITY
16	D339123 WATERBURY	OTHER	CONNECTICUT	BEACON HEALTH STRATEGIES

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: 4/28/2024

NPI Synchronization or Removal

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