Active NPI
Lauren Alana Gillingham
- Psychiatric/Mental Health Nurse Practitioner
- Derby, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 12.015007
- Practice address
- 248 Seymour Ave
Derby, CT 06418-1332 - Phone
- (203) 732-7550
- Fax
- (203) 732-1550
- NPI assigned
- Nov 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 129031 | CT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 12.015007 | CT | Primary |
Addresses
Primary practice location
248 Seymour Ave
Derby, CT 06418-1332
Mailing address
248 Seymour Ave
Derby, CT 06418-1332
Phone (203) 732-7550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
130 Division St
Derby, CT 06418-1326
Phone (203) 732-7360
Hospital & facility affiliations
- Griffin Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129031 | CT | MD | Psychiatric/Mental Health Registered Nurse |
| 12.015007 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Griffin Hospital | Current | Accepting new patients |
Locations
248 Seymour Ave
Derby, CT 06418
Phone (203) 732-7550
130 Division St
Derby, CT 06418
Phone (203) 732-1330
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.
-
- General Acute Care Hospital
- Derby, CT
- NPI 1184639973
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Derby, CT
- NPI 1184639973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1063287779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "248 SEYMOUR AVE",
"city": "DERBY",
"state": "CT",
"postal_code": "064181332",
"telephone_number": "203-732-7550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "248 SEYMOUR AVE",
"city": "DERBY",
"state": "CT",
"postal_code": "064181332",
"telephone_number": "203-732-7550",
"fax_number": "203-732-1550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLINGHAM",
"first_name": "LAUREN",
"middle_name": "ALANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-22",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "CT",
"license": "129031",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "12.015007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Derby, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.