Individual provider Active NPI

Caitlin Ceccarelli, APRN

  • Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1972265569
Registry record updated Jul 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9860 Issued in CT
Practice address
2484 S San Tan Village Pkwy Ste J-105
Gilbert, AZ 85295-5328
Phone
(480) 470-5747
NPI assigned
Oct 11, 2021
Last updated
Jul 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9860 CT Primary

Addresses

Primary practice location

2484 S San Tan Village Pkwy Ste J-105
Gilbert, AZ 85295-5328

Mailing address

10 Overbrook Rd
Norwalk, CT 06851-3309
Phone (914) 275-6449

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": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690070400000",
    "number": "1972265569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OVERBROOK RD",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068513309",
            "telephone_number": "914-275-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2484 S SAN TAN VILLAGE PKWY STE J-105",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852955328",
            "telephone_number": "480-470-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECCARELLI",
        "first_name": "CAITLIN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2023-07-23",
        "certification_date": "2023-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "9860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2023; 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.