Nancy Cantey Banasiak, APRN, BC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

000926 Issued in CT

Practice address

789 Howard Ave
New Haven, CT 06519-1304

Phone

(203) 737-2417

Fax

(203) 785-6455

NPI assigned

Feb 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Child and Family Agency of Southeastern Connecticut, Inc.

  dba The Community Bridge Clinic

  • Clinic/Center
  • New London, CT
  • NPI 1225797921
  Medicare reassignment NPD
• Yale University

  dba Yale Medicine

  • Anesthesiology Physician
  • New Haven, CT
  • NPI 1205822236
  Medicare reassignment NPD
• Yale University

  • Durable Medical Equipment & Medical Supplies
  • Fairfield, CT
  • NPI 1548066962
  NPD

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386770337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 QUAIL RUN",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064431900",
            "telephone_number": "203-737-2417",
            "fax_number": "203-785-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 HOWARD AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191304",
            "telephone_number": "203-737-2417",
            "fax_number": "203-785-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANASIAK",
        "first_name": "NANCY",
        "middle_name": "CANTEY",
        "name_prefix": "Prof.",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "000926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nigel S Bamford, MD
• Nancy Banack, PT
• Trevor Banack, M.D.
• Nafiseh Banaha
• Christine M Banas, LCSW
• Julia Anne Bancroft, NP
• Matthew Band, PA-C
• Molly E Band, PA-C
• Thilinie Dulanjalee Bandaranayake, M.D.
• Rachel Chana Bandler, MD, PHD

• Pediatric Nurse Practitioner in New Haven, CT
• Providers in New Haven, CT by specialty
• Pediatric Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.