Healthcare Provider Details

I. General information

NPI: 1982243234
Provider Name (Legal Business Name): ANNA KATS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/04/2020
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 MAIN ST
DANBURY CT
06810-7834
US

IV. Provider business mailing address

15 AUTUMN RIDGE RD
NEW FAIRFIELD CT
06812-2524
US

V. Phone/Fax

Practice location:
  • Phone: 203-628-7073
  • Fax: 855-802-2305
Mailing address:
  • Phone: 917-689-8914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number233617
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number14992
License Number StateCT
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number402916
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number611515
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: