Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amber Gabriella Vernacatola

Individual provider Registered Nurse · NPI 1770215170

Amber Gabriella Vernacatola is a Nurse Practitioner in Old Lyme, Connecticut. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Connecticut.

Years since qualifying
2
Licensed in
CT
In the registry since
2022
Specialties on file
2

Practice location Address checks out

12 Flagler Ave
Old Lyme, CT 06371-2429
Phone: (860) 885-4094
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 14701 (CT)
Registered Nurse Taxonomy 163W00000X · Licence 143750 (CT)

Record details

NPI number1770215170
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 26, 2022
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare