Active NPI
Gisselt Peguero
- Home Health Aide
- East Hartford, CT
National Provider Identifier
1023556974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 19 Norman Dr
East Hartford, CT 06108-1824 - Phone
- (860) 913-0661
- NPI assigned
- Feb 10, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
19 Norman Dr
East Hartford, CT 06108-1824
Mailing address
19 Norman Dr
East Hartford, CT 06108-1824
Phone (860) 913-0661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486684800000",
"number": "1023556974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 NORMAN DR",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061081824",
"telephone_number": "860-913-0661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 NORMAN DR",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061081824",
"telephone_number": "860-913-0661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEGUERO",
"first_name": "GISSELT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-10",
"last_updated": "2017-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.