MEGAN BRACONE
Complete NPI Record 1164796348
Student in an Organized Health Care Education/Training Program in Waterbury, CT
Active since March 06, 2012
34 MURRAY STREET, FAMILY SERVICES OF GREATER WATERBURY, WATERBURY, CT 06710(203) 756-8317(203) 756-8310 Get Directions
Complete NPI Dataset
This page contains the complete raw NPPES record for Megan Bracone (NPI 1164796348), an individual student in an organized health care education/training program provider in Waterbury, CT. All 29 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
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Registry File Document Utilities
- NPI: 1164796348 Field 1/29
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1 Field 2/29
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: BRACONE Field 3/29
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: MEGAN Field 4/29
- The first name of the provider, if the provider is an individual.
- Provider First Line Business Mailing Address: 34 MURRAY STREET Field 5/29
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Second Line Business Mailing Address: FAMILY SERVICES OF GREATER WATERBURY Field 6/29
- The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
- Provider Business Mailing Address City Name: WATERBURY Field 7/29
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: CT Field 8/29
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 067101920 Field 9/29
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 10/29
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 2037568317 Field 11/29
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 2037568310 Field 12/29
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 34 MURRAY STREET Field 13/29
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Second Line Business Practice Location Address: FAMILY SERVICES OF GREATER WATERBURY Field 14/29
- The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: WATERBURY Field 15/29
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: CT Field 16/29
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 067101920 Field 17/29
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 18/29
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 2037568317 Field 19/29
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 2037568310 Field 20/29
- The fax number associated with the location address of the provider being identified.
- Provider Gender Code: F Field 23/29
- The code designating the provider's gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 390200000X Field 24/29
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 25/29
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Other Provider Identifier 1: 004068284 Field 26/29
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 1: 05 Field 27/29
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 1: CT Field 28/29
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Is Sole Proprietor: N Field 29/29
- Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
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