IRENE D GUMBOC (NPI# 1407346323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407346323 |
| Entity Type | Individual |
| Full Name | IRENE D GUMBOC |
| Credential | APRN |
| Practice Address |
99 Starr St Norwich CT 06360-4025 |
| Practice Telephone | 8605012725 |
| Mailing Telephone | 8605012725 |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
7550 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
7550 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
7550 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
99 STARR ST |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-4025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770891186 | Sue Ellen Button | Nurse Practitioner | 179 North Broad Street, Chenango Memorial Hospital, Norwich, NY 13815-1019 | 2010-09-20 |
| 1558986174 | Ryan Mansi | Nurse Practitioner | 1 Towne Park Plz, Norwich, CT 06360-2247 | 2020-06-09 |
| 1679108534 | Alma Barreto Aprn LLC | Nurse Practitioner | 12 Case St Ste 202, Norwich, CT 06360-2222 | 2020-03-10 |
| 1689155004 | Laura Saskal | Nurse Practitioner | 47 Town St, Norwich, CT 06360-2323 | 2018-08-23 |
| 1194234005 | Kristen Kay Menard | Nurse Practitioner | 179 N Broad St, Norwich, NY 13815-1019 | 2017-09-22 |
| 1487173431 | Alaina Lyn Kindelan | Nurse Practitioner | 326 Washington St, Norwich, CT 06360 | 2017-09-11 |
| 1407255375 | Patricia Varma | Nurse Practitioner | 79 Wawecus St, Norwich, CT 06360-2160 | 2014-08-17 |
| 1649679697 | Jade Paradis | Nurse Practitioner | 79 Wawecus St, Norwich, CT 06360-2160 | 2014-08-15 |
| 1134553704 | Laura Rydelek Fitzgerald | Nurse Practitioner | 1 Towne Park Plz, Norwich, CT 06360-2247 | 2013-08-30 |
| 1811251713 | Deirdre M Clark | Nurse Practitioner | 326 Washington St, Norwich, CT 06360-2740 | 2012-06-26 |
| Find all providers in NORWICH | ||||
Please comment or provide details below to improve the information on IRENE D GUMBOC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.