Individual provider Active NPI

Brighid Armstrong Gannon

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1366870453
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F401646 Issued in NY
Practice address
952 5TH Ave
Suite 1a
New York, NY 10075-1740
Phone
(212) 249-1600
NPI assigned
Oct 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 641016 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F401646 NY Primary

Addresses

Primary practice location

952 5TH Ave
Suite 1a
New York, NY 10075-1740

Mailing address

193 Orchard St
#4D
New York, NY 10002-1417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140219000472 NY Practitioner - Nurse Practitioner 0749419604 Reassigns benefits to 1 organization
I20240503000221 WA Practitioner - Nurse Practitioner 0749419604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

193 Orchard St
New York, NY 10002-1415

22406 68TH Ave W
Mountlake Terrace, WA 98043-2372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
641016NYMDRegistered Nurse
F401646NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moonshot Psychiatric Nurse Practitioner PC Psychiatric/Mental Health CurrentSince Jun 1, 2023 Accepting new patients
Psychiatric Nurse Practitioner P.C Psychiatric/Mental Health CurrentSince Jan 1, 2020 Accepting new patients
Lavender New Jersey Psychiatric Nurse Practitioner PC Psychiatric/Mental Health CurrentSince May 3, 2026 Accepting new patients
Ronald R. Fieve, MD, PC Past Accepting new patients

Locations

971 US Highway 202 N
#8057
Branchburg, NJ 08876

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1366870453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 ORCHARD ST",
            "address_2": "#4D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100021417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 5TH AVE",
            "address_2": "SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751740",
            "telephone_number": "212-249-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANNON",
        "first_name": "BRIGHID",
        "middle_name": "ARMSTRONG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "641016",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.