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

Kathryn Sullivan Mitra, ACNP-BC

Individual provider Registered Nurse · NPI 1255598629

Kathryn Sullivan Mitra, ACNP-BC is a Nurse Practitioner in Stamford, Connecticut. Qualified in 2007, 19 years ago. Practices with Stamford Health Medical Group Inc, a 432-clinician group and accepts Medicare assignment. Licensed in Connecticut and New York.

Years since qualifying
19
Licensed in
CT, NY
In the registry since
2008
Specialties on file
3
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Practice location Address checks out

29 Hospital Plz Ste 501
Stamford, CT 06902-3602
Phone: (203) 276-2321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 005244 (CT)
Registered Nurse Taxonomy 163W00000X · Licence 530419 (NY)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 430397 (NY)

Record details

NPI number1255598629
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP-BC
Sole proprietorNo
NPI enumeratedMay 21, 2008
Last updated in NPPESApril 4, 2023
Certification dateApril 4, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Stamford Health Medical Group Inc — 432 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stamford