Individual provider Active NPI

Maryann Ciambriello, RN

  • Gerontology Registered Nurse
  • Fairfield, CT
National Provider Identifier
1841695376
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Registered NurseTaxonomy code 163WG0600X
License
E50436 Issued in CT
Practice address
1424 Post Rd
Fairfield, CT 06824-5931
Phone
(203) 520-0116
NPI assigned
Oct 27, 2014
Last updated
Oct 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered Nurse 163WG0600X E50436 CT Primary
Case Manager/Care Coordinator 171M00000X CT

Addresses

Primary practice location

1424 Post Rd
Fairfield, CT 06824-5931

Mailing address

11 Red Barn Rd
Trumbull, CT 06611-1060

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
E50436CTMDGerontology Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Alzheimer's and Dementia Care Past Accepting new patients
Alzheimers and Dementia Care/Help at Home Past Accepting new patients

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": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1841695376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RED BARN RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245931",
            "telephone_number": "203-520-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIAMBRIELLO",
        "first_name": "MARYANN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "CT",
            "license": "E50436",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.