Basic Information
| Provider Information | |||||||||
| NPI: | 1437159043 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SINAPI | ||||||||
| FirstName: | KERRILENE | ||||||||
| MiddleName: | E | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1450 CHAPEL ST. | ||||||||
| Address2: | |||||||||
| City: | NEW HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 06511 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2037895946 | ||||||||
| FaxNumber: | 2038675287 | ||||||||
| Practice Location | |||||||||
| Address1: | 1450 CHAPEL ST. | ||||||||
| Address2: | |||||||||
| City: | NEW HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 06511 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2037893469 | ||||||||
| FaxNumber: | 2038675287 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/26/2005 | ||||||||
| LastUpdateDate: | 02/10/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 02/10/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 200400976 | NC | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | DO01072 | RI | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | 047585 | CT | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
ID Information
| ID | Type | State | Issuer | Description | 137F9 | 01 | NC | BCBS OF NC GROUP # 015CK | OTHER | 89137F9 | 05 | NC | MEDICAID |