Active NPI
Gayle Looby, APRN
- Adult Health Nurse Practitioner
- Hartford, CT
National Provider Identifier
1386621902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 0002531
- Practice address
- 1000 Asylum Ave
Ste 3216 Prime Healthcare
Hartford, CT 06105-1770 - Phone
- (860) 247-2137
- Fax
- (860) 728-0480
- NPI assigned
- Dec 23, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 0002531 | CT | Primary |
Addresses
Primary practice location
1000 Asylum Ave
Ste 3216 Prime Healthcare
Hartford, CT 06105-1770
Mailing address
30 Jordan LN
Prime Healthcare
Wethersfield, CT 06109-1278
Phone (860) 263-0253
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400002531CT01 | Other | CT | BCBS |
| 0002531 | Other | CT | MEDICAL LICENSE |
| 004219714 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002531 | CT | MD | Medical Physician Assistant |
| 0002531 | CT | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1386621902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 JORDAN LN",
"address_2": "PRIME HEALTHCARE",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061091278",
"telephone_number": "860-263-0253",
"fax_number": "860-263-0262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 ASYLUM AVE",
"address_2": "STE 3216 PRIME HEALTHCARE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061051770",
"telephone_number": "860-247-2137",
"fax_number": "860-728-0480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOOBY",
"first_name": "GAYLE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-23",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CT",
"license": "0002531",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "400002531CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "0002531",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004219714",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.