ANNA GUT APRN LLC — NPI 1407231780 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric

CMS-1500 Box 24J / 33a • NPI

1407231780

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

364SP0808X (CMS 89)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health

Box 32 Service Location & ZIP+4

502 WHITE PLAINS RD BLDG A2, TRUMBULL, CT, 06611-4857

✓ 9-Digit EDI 837 ZIP+4 (06611-4857)

Practice Phone & Referral Fax

(860) 810-2302

Fax: (203) 349-2087

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1407231780 (ANNA GUT APRN LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1407231780` (NPI-2 Organization / Facility)
Provider / Legal Name	ANNA GUT APRN LLC
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health NUCC Code: `364SP0808X` (Clinical Nurse Specialist, Psych/Mental Health)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	502 WHITE PLAINS RD BLDG A2, TRUMBULL, CT, 06611-4857
Practice Telephone / Fax	Tel: (860) 810-2302 \| Fax: (203) 349-2087
Administrative Mailing Address	502 WHITE PLAINS RD, TRUMBULL, CT, 06611-4857
Enumeration & Last Sync	Enumerated: 2015-07-28 \| CMS Record Updated: 2024-09-09
Authorized Official	ANNA GUT (CNS/APRN)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

502 WHITE PLAINS RD BLDG A2, TRUMBULL, CT, 06611-4857

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Plain-English Taxonomy & CMS Crosswalk (364SP0808X)

What Does Taxonomy Code 364SP0808X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 364SP0808X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 89 (Certified Clinical Nurse Specialist)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Clinical Nurse Specialist, Psych/Mental Health for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ANNA GUT APRN LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`364S00000X` — Clinical Nurse Specialist Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist	State: CT \| License: `001319` \| Primary: Secondary
`364SA2200X` — Clinical Nurse Specialist, Adult Health Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Adult Health	State: CT \| License: `001319` \| Primary: Secondary
`364SC1501X` — Clinical Nurse Specialist, Community Health/Public Health Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Community Health — Public Health	State: CT \| License: `001319` \| Primary: Secondary
`364SP0807X` — Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health, Child & Adolescent	State: CT \| License: `001319` \| Primary: Secondary
`364SP0808X` — Clinical Nurse Specialist, Psych/Mental Health Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health	State: CT \| License: `001319` \| Primary: Yes (Primary)
`364SP0809X` — Clinical Nurse Specialist, Psych/Mental Health, Adult Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health, Adult	State: CT \| License: `001319` \| Primary: Secondary
`364SP0810X` — Clinical Nurse Specialist, Psych/Mental Health, Child & Family Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health, Child & Family	State: CT \| License: `001319` \| Primary: Secondary
`364SP0811X` — Clinical Nurse Specialist, Psych/Mental Health, Chronically Ill Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health, Chronically Ill	State: CT \| License: `001319` \| Primary: Secondary
`364SP0812X` — Clinical Nurse Specialist, Psych/Mental Health, Community Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health, Community	State: CT \| License: `001319` \| Primary: Secondary
`364SP0813X` — Clinical Nurse Specialist, Psych/Mental Health, Geropsychiatric Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Clinical Nurse Specialist, Psychiatric — Mental Health, Geropsychiatric	State: CT \| License: `001319` \| Primary: Secondary

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ANNA GUT APRN LLC (NPI #1407231780)