Active NPI
Melissa Ann Lonergan, APRN CNM
- Advanced Practice Midwife
- New Haven, CT
National Provider Identifier
1104893825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 000066
- Practice address
- 374 Grand Ave
Fair Haven Community Health Center
New Haven, CT 06513 - Phone
- (203) 777-7411
- NPI assigned
- Mar 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 000066 | CT | Primary |
Addresses
Primary practice location
374 Grand Ave
Fair Haven Community Health Center
New Haven, CT 06513
Mailing address
45 Sunset Beach Rd
Branford, CT 06405-5028
Phone (203) 488-3231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000066 | CT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Raphael Healthcare System Affiliated Physicians Inc | Advanced Practice Midwife | Past | Accepting new patients |
| Saint Raphael Faculty Physicians | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- New Haven, CT
- NPI 1932138138
-
dba Affiliated Physicians of Saint Raphael
- Neurology Physician
- New Haven, CT
- NPI 1063744001
Advanced Practice Midwife
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104893825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 SUNSET BEACH RD",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064055028",
"telephone_number": "203-488-3231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "374 GRAND AVE",
"address_2": "FAIR HAVEN COMMUNITY HEALTH CENTER",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06513",
"telephone_number": "203-777-7411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONERGAN",
"first_name": "MELISSA",
"middle_name": "ANN",
"credential": "APRN CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CT",
"license": "000066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.