Healthcare Provider Details

I. General information

NPI: 1437043197
Provider Name (Legal Business Name): THE CONCIERGE NPS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2025
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 UNION SQ UNIT 1051
SOUTHBURY CT
06488-2204
US

IV. Provider business mailing address

9 UNION SQ UNIT 1051
SOUTHBURY CT
06488-2204
US

V. Phone/Fax

Practice location:
  • Phone: 475-689-7021
  • Fax: 855-808-9693
Mailing address:
  • Phone: 475-689-7021
  • Fax: 855-808-9693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: TARSHA V SCARLETT-GRANT
Title or Position: PROVIDER
Credential: NP
Phone: 203-695-6789