Individual provider Active NPI

Cristina Gianfagna

  • School Social Worker
  • Mentor, OH
National Provider Identifier
1700199965
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
Practice address
8030 Deepwood Blvd
Apt. 22
Mentor, OH 44060-7774
Phone
(440) 283-5686
NPI assigned
Jul 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X Primary

Addresses

Primary practice location

8030 Deepwood Blvd
Apt. 22
Mentor, OH 44060-7774

Mailing address

8030 Deepwood Blvd
Apt 22
Mentor, OH 44060-7774

Other identifiers 1

IdentifierTypeStateIssuer
34-6573631OtherOHUNKNOWN

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1700199965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 DEEPWOOD BLVD",
            "address_2": "APT 22",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440607774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8030 DEEPWOOD BLVD",
            "address_2": "APT. 22",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440607774",
            "telephone_number": "440-283-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANFAGNA",
        "first_name": "CRISTINA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNKNOWN",
            "identifier": "34-6573631",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.