Active NPIIndividual provider

Jacquelyn Basile

Nurse Practitioner, Pediatrics in Shelton, Connecticut

NPI Number1316838220
Practice location
100 Beard Sawmill RD, Shelton, CT 06484-6150
Fax
—
Last updated
July 10, 2025

Jacquelyn Basile is a Nurse Practitioner, Pediatrics based in Shelton, CT. Jacquelyn Basile practices in Shelton, CT. The NPI Number for Jacquelyn Basile is 1316838220 and holds a License No. 15059 (CT). The current practice location address for Jacquelyn Basile is 100 Beard Sawmill RD, Shelton, CT 06484-6150 and can be reached out via phone at 203-452-8322.

Provider Profile Details

NPI Number
1316838220
Provider Name
Jacquelyn Basile
Provider Entity Type
Individual
Gender
Female
Address
100 Beard Sawmill RD, Shelton, CT 06484-6150
Phone Number
203-452-8322
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Provider Enumeration Date
July 10, 2025
Last Update Date
July 10, 2025
Certification Date
July 10, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Beard Sawmill RD
Shelton, CT 06484-6150
Zip
06484-6150
Phone Number
203-452-8322
Shelton, CT 06484Get directions →

Provider Business Mailing Address Details

Address
100 Beard Sawmill RD
Shelton, CT 06484-6150
City
Shelton
State
CT
Zip
06484-6150

License Information

License Number
15059
License State
CT
Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jacquelyn Basile?

The NPI number of Jacquelyn Basile is 1316838220. It was assigned on July 10, 2025 and is currently active in the NPPES registry.

What is the specialty of Jacquelyn Basile?

Jacquelyn Basile is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in CT under license number 15059.

Where does Jacquelyn Basile practice?

The practice location is 100 Beard Sawmill RD, Shelton, CT 06484-6150. The office can be reached at 203-452-8322 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316838220 directly on the NPPES registry website.

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