Individual provider Active NPI

Brittany Lynn Gancarz, LGC

  • Genetic Counselor (M.S.)
  • Farmington, CT
National Provider Identifier
1063966521
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
000054 Issued in CT
Practice address
263 Farmington Ave
MC 2812
Farmington, CT 06030-2812
Phone
(860) 679-6629
Fax
(860) 679-0145
NPI assigned
Aug 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X 000054 CT Primary

Addresses

Primary practice location

263 Farmington Ave
MC 2812
Farmington, CT 06030-2812

Mailing address

263 Farmington Ave
MC 2812
Farmington, CT 06030-2812
Phone (860) 679-6629

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": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1063966521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "address_2": "MC 2812",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060302812",
            "telephone_number": "860-679-6629",
            "fax_number": "860-679-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "address_2": "MC 2812",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060302812",
            "telephone_number": "860-679-6629",
            "fax_number": "860-679-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANCARZ",
        "first_name": "BRITTANY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CT",
            "license": "000054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.