OrganizationActive
Collaborative Medicine LLC
NPI 1063137511 · Family Nurse Practitioner · Canton, CT
Provider details
- NPI number
- 1063137511
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jennifer Cannon, Owner(860) 935-6680
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
166 Albany Tpke Ste 7
Canton, CT 06019-2546
Phone: (860) 935-6680
Fax: (860) 359-3701
Street-level locationGet directions
Mailing address
78 Pine Hill Rd
Burlington, CT 06013-2303
Additional practice locations (1)
- 78 Pine Hill RdBurlington, CT 06013-2303Phone: (203) 910-1577
Registry dates
- Enumerated
- 2022-10-06
- Last updated
- 2025-05-22
- Certified
- 2025-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.