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

Jonathan Dodard

Individual provider Family Nurse Practitioner · NPI 1245099175

Jonathan Dodard is a Nurse Practitioner in Ridgefield, Connecticut. Qualified in 2023, 3 years ago. Practices with Prohealth Physicians PC, a 212-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
3
Licensed in
CT
In the registry since
2024

Practice location Address checks out

96 Danbury Rd
Ridgefield, CT 06877-4069
Phone: (203) 438-0874
Show map & directions

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

Additional practice locations (1)

  • 2 Teaberry Ln Unit 2, Ridgefield, CT 06877-3349 — (857) 417-5294

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 12993 (CT)

Record details

NPI number1245099175
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 14, 2024
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024
Mailing address2 Teaberry Ln Unit 2, Ridgefield, CT 06877-3349

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Prohealth Physicians Pc — 212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Ridgefield