Individual provider Active NPI

Giovanny Luna

  • Community Health Worker
  • Greenwich, CT
National Provider Identifier
1972109825
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
111 Wilbur Peck CT
Greenwich, CT 06830-6323
Phone
(203) 717-1760
NPI assigned
Dec 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

111 Wilbur Peck CT
Greenwich, CT 06830-6323

Mailing address

111 Wilbur Peck CT
Greenwich, CT 06830-6323
Phone (203) 717-1760

Electronic endpoints 4

TypeEndpointUseAffiliation
Other URL Greenwich
FHIR URL Greenwich
Other URL Greenwich Family Centers Health Care
Other URL Greenwich

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

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1972109825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WILBUR PECK CT",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306323",
            "telephone_number": "203-717-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WILBUR PECK CT",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306323",
            "telephone_number": "203-717-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNA",
        "first_name": "GIOVANNY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Greenwich",
            "affiliation": "N",
            "address_1": "111 Wilbur Peck Ct",
            "city": "Greenwich",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068306323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "Greenwich",
            "affiliation": "N",
            "address_1": "111 Wilbur Peck Ct",
            "city": "Greenwich",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068306323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Greenwich",
            "affiliation": "Y",
            "affiliationName": "Family Centers Health Care",
            "address_1": "111 Wilbur Peck Ct",
            "city": "Greenwich",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068306323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Greenwich",
            "affiliation": "N",
            "address_1": "111 Wilbur Peck Ct",
            "city": "Greenwich",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068306323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.