Active NPIIndividual provider

Nicholas C Adams, NP

Nurse Practitioner in Derby, Connecticut

NPI Number1093599979
Practice location
130 Division St, Derby, CT 06418-1326
Fax
—
Last updated
May 7, 2025

Nicholas Charles Adams is a Nurse Practitioner based in Derby, CT. Nicholas Charles Adams practices in Derby, CT and has the professional credentials of NP. The NPI Number for Nicholas Charles Adams is 1093599979 and holds a License No. 102928 (CT). The current practice location address for Nicholas Charles Adams is 130 Division St, Derby, CT 06418-1326 and can be reached out via phone at 860-878-4843.

Provider Profile Details

NPI Number
1093599979
Provider Name
Nicholas Charles Adams
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
130 Division St, Derby, CT 06418-1326
Phone Number
860-878-4843
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
August 22, 2023
Last Update Date
May 7, 2025
Certification Date
May 7, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Division St
Derby, CT 06418-1326
City
Derby
Zip
06418-1326
Phone Number
860-878-4843
Derby, CT 06418Get directions →

Provider Business Mailing Address Details

Address
812 N Lakeview Dr
Orange, CT 06477-1421
City
Orange
State
CT
Zip
06477-1421
Phone Number
860-878-4843

License Information

License Number (1)
102928
License State (1)
CT
Taxonomy (1)
Registered Nurse, Emergency · 163WE0003X
License Number (2)
12597
License State (2)
CT
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X
License Number (3)
12597
License State (3)
CT
Taxonomy (3)
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Nicholas C Adams, NP?

The NPI number of Nicholas C Adams, NP is 1093599979. It was assigned on August 22, 2023 and is currently active in the NPPES registry.

What is the specialty of Nicholas C Adams, NP?

Nicholas C Adams, NP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in CT under license number 102928.

Where does Nicholas C Adams, NP practice?

The practice location is 130 Division St, Derby, CT 06418-1326. The office can be reached at 860-878-4843 (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 1093599979 directly on the NPPES registry website.

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