Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaimee Taylor Dizenzo

Individual provider Family Nurse Practitioner · NPI 1942983960

Jaimee Taylor Dizenzo is a Nurse Practitioner in Southington, Connecticut. Qualified in 2022, 4 years ago. Practices with The Hospital of Central Connecticut at New Britain General and Bradley, a 392-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
4
Licensed in
CT
In the registry since
2023
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

249 Spring Lake Rd
Southington, CT 06489-4426
Phone: (860) 681-1646
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 12251 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1942983960
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 8, 2023
Last updated in NPPESAugust 30, 2023
Certification dateAugust 30, 2023
Mailing address249 Spring Lake Rd, Southington, CT 06489-4426

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice The Hospital Of Central Connecticut At New Britain General And Bradley — 392 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Southington