Yekaterina Gabova

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

250 Myrtle Ave Ofc 204
Bridgeport, CT 06604-7762

Phone

(203) 717-2474

NPI assigned

Jul 17, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Monitor My Health, Inc.

  • Community Health Clinic/Center
  • Bridgeport, CT
  • NPI 1760968598

  Health Educator

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1043796568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MYRTLE AVE OFC 204",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066047762",
            "telephone_number": "203-717-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MYRTLE AVE OFC 204",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066047762",
            "telephone_number": "203-717-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABOVA",
        "first_name": "YEKATERINA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Full Circle Youth Empowerment
• Gena Fuller, ATC/L
• Matthew Francis Funk, D.C.
• Furze & Ackley Optical Inc.
• Anthony Fusco
• Nancy Gabriel
• Taylor Gaglia, APRN
• Navaeh Shania Galarza
• Xiomara Galeano, APRN
• Stephanie Gallagher, LMFT

• Health Educator in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Health Educator in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.