Active NPIIndividual provider

Heather Demassa, APRN, RN, IBCLC

Nurse Practitioner, Family in Darien, Connecticut

NPI Number1609388560
Practice location
36 Grove Street, 1ST Fl, Darien, CT 06840-5329
Fax
203-276-8585
Last updated
June 12, 2024

Heather Demassa is a Nurse Practitioner, Family based in Darien, CT. Heather Demassa practices in Darien, CT and has the professional credentials of APRN, RN, IBCLC. The NPI Number for Heather Demassa is 1609388560 and holds a License No. 7134 (CT). The current practice location address for Heather Demassa is 36 Grove Street, 1ST Fl, Darien, CT 06840-5329 and can be reached out via phone at 203-276-4282 and via fax at 203-276-8585.

Provider Profile Details

NPI Number
1609388560
Provider Name
Heather Demassa
Credential
APRN, RN, IBCLC
Provider Entity Type
Individual
Gender
Female
Address
36 Grove Street, 1ST Fl, Darien, CT 06840-5329
Phone Number
203-276-4282
Fax Number
203-276-8585
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
November 1, 2017
Last Update Date
June 12, 2024
Certification Date
June 12, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
36 Grove Street
1ST Fl
Darien, CT 06840-5329
City
Darien
Zip
06840-5329
Phone Number
203-276-4282
Fax Number
203-276-8585
Darien, CT 06840Get directions →

Provider Business Mailing Address Details

Address
36 Grove Street
1ST Fl
Darien, CT 06840-5329
City
Darien
State
CT
Zip
06840-5329
Phone Number
203-276-4282
Fax Number
203-276-8585

License Information

License Number (1)
7134
License State (1)
CT
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (2)
89408
License State (2)
CT
Taxonomy (2)
Registered Nurse, Lactation Consultant · 163WL0100X

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 Heather Demassa, APRN, RN, IBCLC?

The NPI number of Heather Demassa, APRN, RN, IBCLC is 1609388560. It was assigned on November 1, 2017 and is currently active in the NPPES registry.

What is the specialty of Heather Demassa, APRN, RN, IBCLC?

Heather Demassa, APRN, RN, IBCLC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 7134.

Where does Heather Demassa, APRN, RN, IBCLC practice?

The practice location is 36 Grove Street, 1ST Fl, Darien, CT 06840-5329. The office can be reached at 203-276-4282 (phone) or 203-276-8585 (fax).

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 1609388560 directly on the NPPES registry website.

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