Active NPI
Ian Alphonso Daye
- Licensed Practical Nurse
- East Hartford, CT
National Provider Identifier
1356910384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 36671
- Practice address
- 1285 Burnside Ave Apt B
East Hartford, CT 06108-1582 - Phone
- (860) 709-8119
- NPI assigned
- Jun 23, 2021
- Last updated
- Jun 23, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 36671 | CT | Primary |
Addresses
Primary practice location
1285 Burnside Ave Apt B
East Hartford, CT 06108-1582
Mailing address
1285 Burnside Ave Apt B
East Hartford, CT 06108-1582
Phone (860) 709-8119
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36671 | CT | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1356910384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1285 BURNSIDE AVE APT B",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061081582",
"telephone_number": "860-709-8119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1285 BURNSIDE AVE APT B",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061081582",
"telephone_number": "860-709-8119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAYE",
"first_name": "IAN",
"middle_name": "ALPHONSO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-23",
"last_updated": "2021-06-23",
"certification_date": "2021-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "CT",
"license": "36671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.