Nicholas Roy Gilbert, APRN

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

000976 Issued in CT

Practice address

152 Simsbury Rd
Building 9, 2ND Floor
Avon, CT 06001-3777

Phone

(860) 269-3101

Fax

(860) 269-3102

NPI assigned

Jan 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1083769590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 SIMSBURY RD",
            "address_2": "BUILDING 9, 2ND FLOOR, VISTA",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013777",
            "telephone_number": "860-269-3101",
            "fax_number": "860-269-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 SIMSBURY RD",
            "address_2": "BUILDING 9, 2ND FLOOR",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013777",
            "telephone_number": "860-269-3101",
            "fax_number": "860-269-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "NICHOLAS",
        "middle_name": "ROY",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "CT",
            "license": "000976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008004080",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Brian Geelan, D.M.D
• Joseph M Gentile, DMD
• Stella George, PA-C
• Julie Steiner Gershon, M.D.
• Dana Gilbert
• Daniel John Gill, D.D.S., M.D.
• Thomas Adam Gilmore, RPH
• Brooke Giordano, APRN
• Carl Joseph Gisnarian, CCP, LP
• Ruth Goldbaum, A.P.R.N.

• Psychiatric/Mental Health Clinical Nurse Specialist in Avon, CT
• Providers in Avon, CT by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.