Individual provider Active NPI

Lauren Pambianchi, APRN, RN, MSN, CPNP

  • Pediatric Nurse Practitioner
  • Ridgefield, CT
National Provider Identifier
1033568217
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
009029 Issued in CT
Practice address
49 Eleven Levels Rd
Ridgefield, CT 06877-3038
Phone
(203) 313-7395
NPI assigned
Jun 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 173106 CT
Pediatric Nurse Practitioner 363LP0200X 382726 NY
Registered Nurse 163W00000X 704368-1 NY
Pediatric Nurse Practitioner 363LP0200X 009029 CT Primary

Addresses

Primary practice location

49 Eleven Levels Rd
Ridgefield, CT 06877-3038

Mailing address

49 Eleven Levels Rd
Ridgefield, CT 06877-3038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171023001408 NY Practitioner - Nurse Practitioner 1759657521 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
173106CTMDRegistered Nurse
704368-1NYMDRegistered Nurse
009029CTMDPediatric Nurse Practitioner
382726NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Sep 15, 2017 Accepting new patients
Montefiore Medical Center CurrentSince Sep 15, 2017 Accepting new patients
The Center for Advanced Pediatrics, P.C Pediatrics Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

Interoperability endpoints

  • Direct secure messaging: lpambianchi@tcfap.pcc-direct.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GJGGBA/Endpoint/GJGGBA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1033568217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 ELEVEN LEVELS RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068773038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 ELEVEN LEVELS RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068773038",
            "telephone_number": "203-313-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAMBIANCHI",
        "first_name": "LAUREN",
        "name_prefix": "Miss",
        "credential": "APRN, RN, MSN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "173106",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "382726",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "704368-1",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "009029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

Verify at the official NPI Registry.