Geralyn R Spollett, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

000712 Issued in CT

Practice address

789 Howard Ave
Dana Building, 3Rd FL
New Haven, CT 06519-1304

Phone

(203) 737-1932

Fax

(203) 785-3588

NPI assigned

Dec 1, 2005

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1265416556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 HOWARD AVE",
            "address_2": "DANA BUILDING, 3RD FL",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191304",
            "telephone_number": "203-737-1932",
            "fax_number": "203-785-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 HOWARD AVE",
            "address_2": "DANA BUILDING, 3RD FL",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191304",
            "telephone_number": "203-737-1932",
            "fax_number": "203-785-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOLLETT",
        "first_name": "GERALYN",
        "middle_name": "R",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "000712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004212049",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zev Levi Spiegel
• Max Spielman
• Arielle Spigarelli, APRN
• Nuala Laura Spillane, MD
• Allison Marie Spinella, APRN
• Stacy Lyn Spooner, MD
• Taylor D Spooner, LCSW
• Ashley Spose, LPC
• Preston Carpenter Sprenkle, M.D.
• Sandra Ann Springer, MD

• Nurse Practitioner in New Haven, CT
• Providers in New Haven, CT by specialty
• Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.