Connecticut State Department of Public Health

Practitioner Profile

Pursuant to Section 20-13j, Connecticut General Statutes, the Department is required to establish a practitioner profile for licensed APRNs for dissemination to the public via the Department’s website. 
 
Please note that the profile includes collection of the following information: 
 
The name of the school or institution giving instruction in the healing arts attended by the APRN and the date of graduation;
 
The site, training, discipline and inclusive dates of any completed postgraduate education or other professional education required for licensure;
 
The area of the APRN’s practice specialty;

The address of the APRN's primary practice location or primary practice locations, if more than one;

A list of languages, other than English, spoken at the APRN's primary practice location(s);

An indication of any disciplinary action taken against the APRN by the Connecticut Board of Examiners for Nursing or by the appropriate state board or any professional licensing   or disciplinary body in another jurisdiction;

Any current certifications issued to the APRN by a specialty board of the profession;

The hospitals and nursing homes at which the APRN has been granted privileges;

Any appointments of the APRN to a Connecticut medical school faculty and an indication as to whether the APRN has current responsibility for graduate medical education;
 
A listing of the APRN’s publications in peer reviewed literature;
 
A listing of the APRN’s professional services, activities and awards;
 
Any hospital disciplinary actions against the APRN that resulted, within the past ten years, in the termination or revocation of the APRN’s hospital privileges for a professional  disciplinary cause or reason, or the resignation from, or nonrenewal of, professional staff membership or the restriction of privileges at a hospital taken in lieu of or in settlement   of a pending disciplinary case related to professional competence in such hospital; 
 
A description of any criminal conviction of the APRN for a felony within the last ten years;
 
All professional malpractice court judgments and all professional malpractice arbitration awards against the APRN in which a payment was awarded to a complaining party during  the last ten years, and all settlements of professional malpractice claims against the APRN in which a payment was made to a complaining party within the last ten years;
 
An indication as to whether the APRN is actively involved in patient care;
 
An indication as to whether the APRN provides primary care services;
 
An indication as to whether the APRN advanced practice registered nurse is practicing independently or in collaboration with a physician pursuant to a collaborative agreement; and
 
The name of the APRN’s professional liability insurance carrier. 
 
All information provided by an APRN shall be subject to the penalty for false statement.  An APRN shall notify the department of any changes to the information required in the profile not later than sixty (60) days after such change.