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Export Provider Record NPI 1104225572
Cecrystal Umeugo
Active
NPI Number1104225572
NPI TypeNPI-1 Individual
SpecialtyNurse Practitioner, Family
Provider Details
NPI1104225572
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2014-08-21
Last Updated2014-08-21
Mailing Address5 Shortell Dr
Ansonia, CT 06401-2402
United States
Phone: (203) 906-6486
📍 View Map
Primary Practice Address5 Shortell Drive
Ansonia, CT 06401-2402
United States
Phone: (203) 906-6486
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes363LF0000X – Nurse Practitioner, FamilyCT5879
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About NPI 1104225572

Cecrystal Umeugo is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1104225572. The primary specialty listed is Nurse Practitioner, Family. The provider is located in Ansonia, CT. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2014-08-21. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1104225572?

NPI 1104225572 belongs to Cecrystal Umeugo, a Nurse Practitioner, Family in Ansonia, CT. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1104225572 active?

The current status of NPI 1104225572 in the NPPES registry is Active. The record was last updated on 2014-08-21.

What specialty is NPI 1104225572?

NPI 1104225572 is classified under the taxonomy Nurse Practitioner, Family. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1104225572?

You can verify NPI 1104225572 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1104225572?

The primary practice address on file for NPI 1104225572 is 5 Shortell Drive, Ansonia, CT 06401-2402. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1104225572 issued?

NPI 1104225572 was first issued (enumerated) on 2014-08-21. The NPPES record was last updated on 2014-08-21.

Practice Location Map

Cecrystal Umeugo is located at 5 Shortell Drive, Ansonia, CT. Use the map below to find directions or verify the practice location.

📍 5 Shortell Drive, Ansonia, CT 06401-2402  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Cecrystal Umeugo. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1104225572. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Nurse Practitioner, Family5879CT
Data Verified from CMS NPPES Last synced: 2026-08-09 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162