Dantalee Nicola Gibbons
Individual provider Active NPI Homemaker · Naugatuck, CT
NPI 1164210712 · NPPES record last updated Apr 25, 2025
Key facts
- NPI
- 1164210712
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- License
- HCA.0002614 (CT)
- Practice address
- 193 E Waterbury Rd
Naugatuck, CT 06770-2101 - Phone
- (475) 288-5464
- NPI assigned
- Apr 25, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HCA.0002614 | CT | MD | Homemaker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | HCA.0002614 | CT | Yes |
Addresses
Primary practice location
193 E Waterbury Rd
Naugatuck, CT 06770-2101
Mailing address
193 E Waterbury Rd
Naugatuck, CT 06770-2101
Other providers in Naugatuck, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.