St. Vincents Urgent Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ST. VINCENTS URGENT CARE LLC

Practice address

15 Armstrong Rd
Shelton, CT 06484-4706

Phone

(203) 929-1109

NPI assigned

Jun 27, 2019

Last updated

Jun 27, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

ST. VINCENTS URGENT CARE LLCAs reported in NPPES

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

Authorized official

Name

Llatoya Gayle

Title

Credentialing Specialist

Phone

(475) 210-5346

Specialties & licenses 6

Addresses

Part of

St Vincents Urgent Care LLC

Locations

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1245891456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 MAIN ST STE 1",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066065363",
            "telephone_number": "475-210-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ARMSTRONG RD",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844706",
            "telephone_number": "203-929-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENTS URGENT CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. VINCENTS URGENT CARE LLC",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "GAYLE",
        "authorized_official_first_name": "LLATOYA",
        "authorized_official_title_or_position": "CREDENTIALING  SPECIALIST",
        "authorized_official_telephone_number": "475-210-5346"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Sportini
• Harkirat Singh Sran, DMD
• Chandrika Sreekantaiah, PH.D.
• Marlene St Juste, FNP-BC
• Joseph St. Pierre II, DO
• Cyanne Elizabeth Stanley, LPCA
• Jennifer Stanley
• Dolores Starrett, FNP
• Peter Steenbergen, MD
• Corrie C Steeves, M.D.

• Internal Medicine Physician in Shelton, CT
• Providers in Shelton, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.