Active NPI
Nicole Lauren Sorrentino, D.C.
- Chiropractor
- New Haven, CT
National Provider Identifier
1396041554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 001841
- Practice address
- 214 Whalley Ave
New Haven, CT 06511-3206 - Phone
- (203) 777-2225
- Fax
- (203) 776-4266
- NPI assigned
- Feb 7, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 001841 | CT | Primary |
Addresses
Primary practice location
214 Whalley Ave
New Haven, CT 06511-3206
Mailing address
214 Whalley Ave
New Haven, CT 06511-3206
Phone (203) 777-2225
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 |
|---|---|---|---|
| 001841 | CT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297036800000",
"number": "1396041554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 WHALLEY AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065113206",
"telephone_number": "203-777-2225",
"fax_number": "203-776-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 WHALLEY AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065113206",
"telephone_number": "203-777-2225",
"fax_number": "203-776-4266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORRENTINO",
"first_name": "NICOLE",
"middle_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-07",
"last_updated": "2011-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "001841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.