Roseanne Bernadette Ganim

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

E49092 Issued in CT

Practice address

110 Beachview Ave # Condo222
Bridgeport, CT 06605-3262

Phone

(203) 218-0275

NPI assigned

Dec 29, 2020

Last updated

Dec 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1275120842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 BARNUM AVE STE 2",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066145429",
            "telephone_number": "203-383-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BEACHVIEW AVE # CONDO222",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066053262",
            "telephone_number": "203-218-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANIM",
        "first_name": "ROSEANNE",
        "middle_name": "BERNADETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CT",
            "license": "E49092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cvs.com/international.html",
            "affiliation": "N",
            "endpointDescription": "CVS Pharmacy is an American retail corporation. Owned by CVS Health, it is headquartered in Woonsocket, Rhode Island.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1425 Barnum Ave Ste 2",
            "city": "Stratford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "066145429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Gallagher, LMFT
• Bridget Gallant
• Irene Sernadilla Gallevo, PT
• Maria Elena Galvin, LCSW
• Crystal Ganat
• Diane Gant, RN
• Garay Women's Health, LLC
• Paula Andrea Garay, DHSC., CD
• Johanna Stephanie Garcia-Escobar
• Brianna Garcia

• Case Management Registered Nurse in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Case Management Registered Nurse in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.