Active NPIIndividual providerSole proprietor

Carmen Kokkoros

Nurse Practitioner, Pediatrics in Riverside, Connecticut

NPI Number1013884832
Practice location
1171 E Putnam Ave Ste 2B, Riverside, CT 06878-1426
Fax
—
Last updated
October 17, 2025

Carmen Kokkoros is a Nurse Practitioner, Pediatrics based in Riverside, CT. Carmen Kokkoros practices in Riverside, CT. The NPI Number for Carmen Kokkoros is 1013884832 and holds a License No. 15418 (CT). The current practice location address for Carmen Kokkoros is 1171 E Putnam Ave Ste 2B, Riverside, CT 06878-1426 and can be reached out via phone at 203-629-5800.

Provider Profile Details

NPI Number
1013884832
Provider Name
Carmen Kokkoros
Provider Entity Type
Individual
Gender
Female
Address
1171 E Putnam Ave Ste 2B, Riverside, CT 06878-1426
Phone Number
203-629-5800
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
Yes
Provider Enumeration Date
October 17, 2025
Last Update Date
October 17, 2025
Certification Date
October 17, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1171 E Putnam Ave Ste 2B
Riverside, CT 06878-1426
Zip
06878-1426
Phone Number
203-629-5800
Riverside, CT 06878Get directions →

Provider Business Mailing Address Details

Address
148 Lazy Brook RD
Monroe, CT 06468-3316
City
Monroe
State
CT
Zip
06468-3316

License Information

License Number
15418
License State
CT
Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Nurse Practitioner, Pediatrics providers near Riverside, CT

View all Nurse Practitioner, Pediatrics providers in Riverside →

Frequently Asked Questions

What is the NPI number of Carmen Kokkoros?

The NPI number of Carmen Kokkoros is 1013884832. It was assigned on October 17, 2025 and is currently active in the NPPES registry.

What is the specialty of Carmen Kokkoros?

Carmen Kokkoros is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in CT under license number 15418.

Where does Carmen Kokkoros practice?

The practice location is 1171 E Putnam Ave Ste 2B, Riverside, CT 06878-1426. The office can be reached at 203-629-5800 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013884832 directly on the NPPES registry website.

Browse related providers