| NPI | 1083220362 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2020-09-22 |
| Last Updated | 2025-11-19 |
| Mailing Address | 30 Jordan Ln Ste 3 Wethersfield, CT 06109-1244 United States Phone: (860) 263-0253 | Fax: (860) 263-0262 📍 View Map |
| Primary Practice Address | 61 S Main St Ste 312 West Hartford, CT 06107-2403 United States Phone: (860) 247-2530 | Fax: (860) 524-7727 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 363L00000X – Nurse Practitioner | CT | 9187 |
| Yes | 363LF0000X – Nurse Practitioner, Family | CT | 009187 |
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About NPI 1083220362
Laurie Jean Deciantis FNP-BC is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1083220362. The primary specialty listed is Nurse Practitioner, Family. The provider is located in West Hartford, CT. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2020-09-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1083220362?
NPI 1083220362 belongs to Laurie Jean Deciantis FNP-BC, a Nurse Practitioner, Family in West Hartford, CT. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1083220362 active?
The current status of NPI 1083220362 in the NPPES registry is Active. The record was last updated on 2025-11-19.
What specialty is NPI 1083220362?
NPI 1083220362 is classified under the taxonomy Nurse Practitioner, Family. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1083220362?
You can verify NPI 1083220362 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1083220362?
The primary practice address on file for NPI 1083220362 is 61 S Main St Ste 312, West Hartford, CT 06107-2403. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1083220362 issued?
NPI 1083220362 was first issued (enumerated) on 2020-09-22. The NPPES record was last updated on 2025-11-19.
Practice Location Map
Laurie Jean Deciantis is located at 61 S Main St Ste 312, West Hartford, CT. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Laurie Jean Deciantis. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1083220362. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Nurse Practitioner | 9187 | CT |
| Nurse Practitioner, Family | 009187 | CT |