Organization Active NPI

Gisela Sardinas Aprn LLC

  • Psychiatric/Mental Health Registered Nurse
  • Meriden, CT
National Provider Identifier
1790075448
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
Legal business name
GISELA SARDINAS APRN LLC
Practice address
377 Broad St # B
Meriden, CT 06450-5875
Phone
(203) 606-2260
NPI assigned
Apr 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Gisela Sardinas, APRNNPI 1861498586
Title
Owner
Phone
(203) 606-2260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP0808X Primary

Addresses

Primary practice location

377 Broad St # B
Meriden, CT 06450-5875

Mailing address

377 Broad St # B
Meriden, CT 06450-5875
Phone (203) 606-2260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110427000387 CT Part B Supplier - Clinic/Group Practice 0446435945 Receives reassigned benefits from 1 practitioner
Practice locations: Meriden, CT

National Provider Directory

National Provider Directory

Locations

377 Broad St
#B
Meriden, CT 06450
Phone (203) 606-2260

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1790075448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 BROAD ST # B",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064505875",
            "telephone_number": "203-606-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 BROAD ST # B",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064505875",
            "telephone_number": "203-606-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GISELA SARDINAS APRN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "SARDINAS",
        "authorized_official_first_name": "GISELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-606-2260",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.