Healthcare Provider Details

I. General information

NPI: 1679443295
Provider Name (Legal Business Name): CASEY BATT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2025
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 S MAIN ST
CENTERVILLE MA
02632-3246
US

IV. Provider business mailing address

81 OLD WINDSOR RD UNIT 3
BLOOMFIELD CT
06002-1419
US

V. Phone/Fax

Practice location:
  • Phone: 304-906-8247
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN05098
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: