Individual provider Active NPI

Gerde B Francklin, APRN

  • Gerontology Nurse Practitioner
  • Southbury, CT
National Provider Identifier
1104330083
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
7359 Issued in CT
Practice address
22 Old Waterbury Rd Ste 108
Southbury, CT 06488-3848
Phone
(203) 262-4200
NPI assigned
Nov 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 7359 CT
Gerontology Nurse Practitioner 363LG0600X 7359 CT Primary

Addresses

Primary practice location

22 Old Waterbury Rd Ste 108
Southbury, CT 06488-3848

Mailing address

68 Old Farms LN
New Milford, CT 06776-3704
Phone (860) 210-1767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180319001324 CT Practitioner - Nurse Practitioner 0547522104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nuvance Health Medical Practice CT IncGroup PAC ID 4789597691, 742 clinicians

Practice addresses (Care Compare)

22 Old Waterbury Rd
Southbury, CT 06488-3848
Phone (203) 262-4200

Hospital & facility affiliations

  • Griffin Hospital Hospital, Derby, CT, CCN 070031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7359CTMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice CT, Inc. CurrentSince Apr 1, 2018 Accepting new patients
Southbury Medical Associates, LLP Past Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

22 Old Waterbury Rd
Southbury, CT 06488
Phone (203) 262-4200

22 Old Waterbury Rd
Ste 108
Southbury, CT 06488
Phone (203) 262-4200

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513814400000",
    "number": "1104330083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 OLD FARMS LN",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763704",
            "telephone_number": "860-210-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 OLD WATERBURY RD STE 108",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064883848",
            "telephone_number": "203-262-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCKLIN",
        "first_name": "GERDE",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CT",
            "license": "7359",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CT",
            "license": "7359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

Verify at the official NPI Registry.