Active NPI
Caitlin Ceccarelli, APRN
- Nurse Practitioner
- Gilbert, AZ
National Provider Identifier
1972265569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 9860
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Cattron's DMD, PLLC (Parkland Pediatric Dental)
- Taylor Michelle Caudill
- Cbhsp Arizona Inc. Dba Cenpatico (Cenpatico)
- CBNT, LLC (Dr Watkins and Associates)
- Gladys B. Ceballos-Logan, NMD
- Mary Joseline Gasataya Cenizal, M.D.
- Center at Val Vista, LLC (The Center at Val Vista)
- Center for Orthopedic Research and Education (The CORE Institute)
- Center for Orthopedic Research and Education LLC (Arizona Neurosurgery & Spine Specialists)
- Center for Orthopedic Research and Education LLC
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.