Active NPI
Karen S Guadagnini, MD
- Internal Medicine Physician
- Bristol, CT
National Provider Identifier
1316934185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 034917
- Practice address
- 102 North St
Bristol, CT 06010-4190 - Phone
- (860) 314-2082
- Fax
- (860) 314-8133
- NPI assigned
- Oct 5, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 034917 | CT | Primary |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 034917 | CT |
Addresses
Primary practice location
102 North St
Bristol, CT 06010-4190
Mailing address
PO Box 2828
Bristol, CT 06011-2828
Phone (860) 585-3906
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001349176 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034917 | CT | MD | Addiction Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298332800000",
"number": "1316934185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2828",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060112828",
"telephone_number": "860-585-3906",
"fax_number": "860-585-3907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 NORTH ST",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060104190",
"telephone_number": "860-314-2082",
"fax_number": "860-314-8133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUADAGNINI",
"first_name": "KAREN",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-05",
"last_updated": "2011-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "034917",
"primary": true
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "CT",
"license": "034917",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001349176",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bristol, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.