Staywell Pediatric LLC
NPI 1255521019 · Pediatric Nurse Practitioner · West Haven, CT
Staywell Pediatric LLC is a Pediatric Nurse Practitioner organization in West Haven, CT (NPI 1255521019).
Provider details
- NPI number
- 1255521019
- Entity type
- Organization
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Thomas Etkin, Owner(230) 932-3227
- License
- 000373 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2007-07-27
- Last updated
- 2007-07-27
Frequently asked questions
- What is Staywell Pediatric LLC's NPI number?
- Staywell Pediatric LLC's National Provider Identifier (NPI) is 1255521019, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Staywell Pediatric LLC?
- Staywell Pediatric LLC is classified in the NPPES registry as Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Staywell Pediatric LLC located?
- Staywell Pediatric LLC's practice location on file with NPPES is 365 Elm St, West Haven, CT 06516-4217.
- What is Staywell Pediatric LLC's phone number?
- The practice phone number listed in the NPPES registry for Staywell Pediatric LLC is (203) 932-3227.
- Who is the authorized official for Staywell Pediatric LLC?
- The authorized official listed on Staywell Pediatric LLC's NPPES record is Thomas Etkin, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Staywell Pediatric LLC's NPI active?
- Yes — Staywell Pediatric LLC's NPI (1255521019) is active in the NPPES registry as of the last update on 2007-07-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.