Lorraine Marie Bertuola, RRT

Primary specialty

SNF/Subacute Care Registered Respiratory TherapistTaxonomy code 2279S1500X

License

C9-0001179 Issued in DE

Practice address

101 N Plains Industrial Rd Ste B
Wallingford, CT 06492-2360

Phone

(800) 847-0745

Fax

(888) 509-9028

NPI assigned

Nov 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1083379796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 SUPERFINE LN APT 88",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198024917",
            "telephone_number": "443-983-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N PLAINS INDUSTRIAL RD STE B",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922360",
            "telephone_number": "800-847-0745",
            "fax_number": "888-509-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTUOLA",
        "first_name": "LORRAINE",
        "middle_name": "MARIE",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279S1500X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, SNF/Subacute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2279S1500X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, SNF/Subacute Care",
            "state": "DE",
            "license": "C9-0001179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan E Berey, DMD
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• Alla Bernshteyn, MD
• Kevin Berrios
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• Noelle Marie Bianculli, PHARMD, RPH
• Michael Bisceglia, M.D.

• All providers in Wallingford, CT
• SNF/Subacute Care Registered Respiratory Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.