DAY KIMBALL HOSPITAL PHYSICIAN PRACTICES
NPI 1053695452
Nurse Practitioner in Putnam, CT
NPI Status: Active since October 04, 2011
Contact Information
320 POMFRET ST
PUTNAM, CT
ZIP 06260
Phone: (860) 928-6541
Fax: (860) 963-6450
- Organization
- Nurse Practitioner
- CLIA Number: 07D0095139
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 02-27-2027
About DAY KIMBALL HOSPITAL PHYSICIAN PRACTICES
This page provides the complete NPI Profile along with additional information for Day Kimball Hospital Physician Practices, a provider established in Putnam, Connecticut operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1053695452 assigned on October 2011. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Day Kimball Hospital Physician Practices. The authorized official of this NPI record is Mr. Kyle Kramer (Ceo)
- NPI
- 1053695452
- Provider Legal Name
- DAY KIMBALL HOSPITAL OF WINDHAM COUNTY
- Other Organization Name
- DAY KIMBALL HOSPITAL PHYSICIAN PRACTICES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 320 POMFRET ST PUTNAM, CT 06260
- Location Phone
- (860) 928-6541
- Location Fax
- (860) 963-6450
- Mailing Address
- 320 POMFRET ST SUITE CSB2 PUTNAM, CT 06260
- Mailing Phone
- (860) 928-6541
- Mailing Fax
- (860) 963-6450
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-04-2011
- Last Update Date
- 04-21-2021
- Code Navigator
A nurse practitioner (NP) like Day Kimball Hospital Physician Practices is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QC1500X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 3 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 4 | 363LG0600X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 5 | 363LP0200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 6 | 363LP2300X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 7 | 364SP0809X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 004024931 | MEDICAID (05) | CT |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 07D0095139
- Facility Type
- Hospital
- Certificate Effective Date
- February 28, 2025
- Certificate Expiration Date
- February 27, 2027
- Laboratory Director
- DR. JIAFAN QI
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Day Kimball Hospital Physician Practices on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1053695452, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 48 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PUTNAM, CT 06260
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053695452, enumerated as an "organization" on October 04, 2011.
The provider is located at 320 POMFRET ST PUTNAM, CT 06260 and the phone number is (860) 928-6541.
Nurse Practitioner with taxonomy code 363L00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
