MS. ELISABETH A REILLY APRN NPI 1962505453

NPI Information

NPI: 1962505453
Provider Name: MS. ELISABETH A REILLY, APRN
Classification: Nurse Practitioner - 363LP0222X
Entity Type: Individual

Specialization: Pediatrics, Critical Care

Address:
374 GRAND AVE
NEW HAVEN, CT
ZIP 06513
Phone: (203) 777-7411
Get Directions

MS. Elisabeth A Reilly, APRN is a pediatrics and critical care nurse practitioner in New Haven, CT. MS. Elisabeth A Reilly, APRN NPI is 1962505453. 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:

374 GRAND AVE
NEW HAVEN, CT
ZIP 06513-733
Phone: (203) 777-7411

The enumeration date for this NPI number is 9/7/2006 and was last updated on 7/23/2013.

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	163WP0200X	Registered Nurse	Pediatrics	E46044	CONNECTICUT	No
2	363LP0222X	Nurse Practitioner	Pediatrics, Critical Care	000590	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	400000590CT01	OTHER		BCBS MAP
2	061470493	OTHER		NE DIRECT
3	095000	OTHER		CONNECTICARE
4	400000590CT01	OTHER		BCBS CENT 90
5	061470493	OTHER		CHAMPUS TRICARE
6	OV9806	OTHER		PHS
7	400000590CT01	OTHER		BCBS FED PPO
8	P33633	MEDICARE UPIN
9	061470493	OTHER		FIRST CHOICE
10	061470493	OTHER		ONE HEALTH PLANHEALTH CAR
11	890000342	MEDICARE ID-TYPE UNSPECIFIED
12	061470493	OTHER		UNITED PAYORS
13	400000590CT01	OTHER		BC HEALTH PLAN
14	400000590CT01	OTHER		BCBS NATL
15	061470493	OTHER		COMMUNITY
16	061470493	OTHER		CT HEALTH PIONEER
17	061470493	OTHER		PHCS
18	400000590CT01	OTHER		BCBS PREFERRED
19	004184694	MEDICAID	CONNECTICUT

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

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.

« Previous NPI

Next NPI »