Individual provider Active NPI

Iris S Guillemette, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Torrington, CT
National Provider Identifier
1477987923
Registry record updated Sep 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5495 Issued in CT
Practice address
540 Litchfield St
Memorial Building, 2ND Floor
Torrington, CT 06790-6679
Phone
(860) 496-6350
Fax
(860) 496-6713
NPI assigned
Sep 1, 2013
Last updated
Sep 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5495 CT Primary

Addresses

Primary practice location

540 Litchfield St
Memorial Building, 2ND Floor
Torrington, CT 06790-6679

Mailing address

91 Harpswell Rd
Brunswick, ME 04011-3123

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140106000659 CT Practitioner - Nurse Practitioner 1254569882 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
The Charlotte Hungerford Hospital CurrentSince Oct 7, 2013 Accepting new patients
The Charlotte Hungerford Hospital CurrentSince Oct 7, 2013 Accepting new patients

Locations

540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361

540 Litchfield St
Bldg 2ND
Torrington, CT 06790
Phone (860) 496-6350

Interoperability endpoints

  • Direct secure messaging: iris.guillimette@xdr.hhchealthdirect.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1377993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377993600000",
    "number": "1477987923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 HARPSWELL RD",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 LITCHFIELD ST",
            "address_2": "MEMORIAL BUILDING, 2ND FLOOR",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906679",
            "telephone_number": "860-496-6350",
            "fax_number": "860-496-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLEMETTE",
        "first_name": "IRIS",
        "middle_name": "S",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-01",
        "last_updated": "2013-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "5495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.