Individual provider Active NPI

Stephanie Lajeunesse, FNP

  • Family Nurse Practitioner
  • West Hartford, CT
National Provider Identifier
1053855080
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6872 Issued in CT
Practice address
1245 New Britain Ave
West Hartford, CT 06110-2404
Phone
(860) 234-3325
NPI assigned
Dec 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6872 CT Primary

Addresses

Primary practice location

1245 New Britain Ave
West Hartford, CT 06110-2404

Mailing address

124 Elizabeth Ave
Westfield, MA 01085-1713
Phone (413) 204-8234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20221110001922 MA Practitioner - Nurse Practitioner 1850768417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and Immunology Associates of New England LLCGroup PAC ID 3971826256, 11 clinicians

Practice addresses (Care Compare)

395 Southampton Rd
Unit a
Westfield, MA 01085-1324
Phone (413) 562-2052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6872CTMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy and Immunology Associates of New England, LLC CurrentSince May 7, 2025 Accepting new patients

Locations

101 Munson St
Ste 115
Greenfield, MA 01301
Phone (413) 774-2342

269 Locust St
Ste 201
Northampton, MA 01062
Phone (413) 584-4010

269 Locust St
Ste 108
Northampton, MA 01062
Phone (413) 586-0769

395 Southampton Rd
Unit A
Westfield, MA 01085
Phone (413) 562-2052

Organizations & group practices 1

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": "1481241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1053855080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 ELIZABETH AVE",
            "city": "WESTFIELD",
            "state": "MA",
            "postal_code": "010851713",
            "telephone_number": "413-204-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 NEW BRITAIN AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061102404",
            "telephone_number": "860-234-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAJEUNESSE",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-09",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "6872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.