Individual provider Active NPI

Doris Siawor

  • Nurse's Aide
  • Cheshire, CT
National Provider Identifier
1568086726
Registry record updated Apr 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
NA8435119 Issued in CT
Practice address
615 West Johnson Ave
Cheshire, CT 06410-4531
Phone
(866) 888-7610
NPI assigned
Jun 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X NA8435119 CT Primary

Addresses

Primary practice location

615 West Johnson Ave
Cheshire, CT 06410-4531

Mailing address

615 W Johnson Ave
Cheshire, CT 06410-4532
Phone (866) 888-7610

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

LicenseStateTypeSpecialty
NA8435119CTMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
U-Turn Health CurrentSince Jun 1, 2020 Accepting new patients

Locations

615 W Johnson Ave
Cheshire, CT 06410
Phone (646) 498-1268

615 W Johnson Ave
Ste 202
Cheshire, CT 06410
Phone (203) 695-7057

Organizations & group practices 1

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": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714262400000",
    "number": "1568086726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W JOHNSON AVE",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064104532",
            "telephone_number": "866-888-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 WEST JOHNSON AVE",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064104531",
            "telephone_number": "866-888-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIAWOR",
        "first_name": "DORIS",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2024-04-28",
        "certification_date": "2024-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "CT",
            "license": "NA8435119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.