Deanna G Xistris, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

002056 Issued in CT

Practice address

1 Hospital PLZ
Bennett Cancer Center
Stamford, CT 06904-9317

Phone

(203) 276-2695

Fax

(203) 975-7842

NPI assigned

Feb 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Visiting Nurse and Hospice Care of Southwestern CT Inc

  • Home Health Agency
  • Stamford, CT
  • NPI 1265435994
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1699814715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL PLZ",
            "address_2": "BENNETT CANCER CENTER",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069049317",
            "telephone_number": "203-276-2695",
            "fax_number": "203-975-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL PLZ",
            "address_2": "BENNETT CANCER CENTER",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069049317",
            "telephone_number": "203-276-2695",
            "fax_number": "203-975-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XISTRIS",
        "first_name": "DEANNA",
        "middle_name": "G",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "002056",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "2056",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004000360",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ying Jie Lisa Wu, DMD
• Hallie Alice Wurst, MD
• Jane Wynne, MS, RD
• Jianxiang Xia, MD
• Yuting Xiong, M.D., PH.D.
• Evangelos Demetrios Xistris, M.D.
• Bo Xu, M.D.
• PO Priscilla Xu, MD
• Nadha Fathima Yakoob
• Yale University

• Nurse Practitioner in Stamford, CT
• Providers in Stamford, CT by specialty
• Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; 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.