Individual provider Active NPI

Anny Michel Sigaran Aguasvivas, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bridgeport, CT
National Provider Identifier
1992482954
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
014134 Issued in CT
Practice address
982 E Main St
Bridgeport, CT 06608-1913
Phone
(203) 696-3260
NPI assigned
Jun 30, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 225409 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 405013 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 014134 CT Primary
Registered Nurse 163W00000X 830029 NY

Addresses

Primary practice location

982 E Main St
Bridgeport, CT 06608-1913

Mailing address

100 Commons Park N Apt 507
Stamford, CT 06902-7159
Phone (347) 892-1007

Other practice location 1

100 Commons Park N Apt 507
Stamford, CT 06902-7159
Phone (347) 892-1007

Other practice location 2

1351 Washington Blvd
Stamford, CT 06902-2419
Phone (203) 621-3750

Other practice location 3

4 International Dr Ste 110
Rye Brook, NY 10573-7015
Phone (347) 892-1007

Other names 1

  • Anny Michel Sigaran Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240401001626 NY Practitioner - Nurse Practitioner 4981042603 Reassigns benefits to 1 organization
I20250123000089 CT Practitioner - Nurse Practitioner 4981042603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Columbia University College of Physicians and Surgeons, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimus Health Care IncGroup PAC ID 9335051580, 79 clinicians

Practice addresses (Care Compare)

471 Barnum Ave
Bridgeport, CT 06608-2409
Phone (203) 576-3885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
225409CTMDRegistered Nurse
830029NYMDRegistered Nurse
014134CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sun River Health Inc. CurrentSince Feb 10, 2024 Accepting new patients
Sun River Health Inc Current Accepting new patients
Optimus Health Care Inc CurrentSince Nov 18, 2024 Accepting new patients

Locations

982 E Main St
Bridgeport, CT 06608
Phone (203) 696-3260

471 Barnum Ave
Bridgeport, CT 06608
Phone (203) 333-6864

1351 Washington Blvd
Stamford, CT 06902
Phone (203) 276-7464

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1992482954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COMMONS PARK N APT 507",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069027159",
            "telephone_number": "347-892-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "982 E MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066081913",
            "telephone_number": "203-696-3260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Commons Park N Apt 507",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069027159",
            "country_code": "US",
            "telephone_number": "347-892-1007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1351 Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069022419",
            "country_code": "US",
            "telephone_number": "203-621-3750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 International Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Rye Brook",
            "state": "NY",
            "postal_code": "105737015",
            "country_code": "US",
            "telephone_number": "347-892-1007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIGARAN AGUASVIVAS",
        "first_name": "ANNY",
        "middle_name": "MICHEL",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "225409",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405013",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "014134",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "830029",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNY",
            "last_name": "SIGARAN",
            "middle_name": "MICHEL",
            "credential": "DNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.