Active NPI
Lara T Oneil, APRN
- Pediatric Nurse Practitioner
- Vernon, CT
National Provider Identifier
1205937893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 003078
- Practice address
- 357 Hartford Tpke
Vernon, CT 06066-4838 - Phone
- (860) 871-2102
- Fax
- (860) 870-0890
- NPI assigned
- Sep 26, 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 003078 | CT | Primary |
Addresses
Primary practice location
357 Hartford Tpke
Vernon, CT 06066-4838
Mailing address
PO Box 3249
Vernon, CT 06066-2149
Phone (860) 872-2289
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3078 | CT | MD | Physician Assistant |
| 003078 | CT | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247011200000",
"number": "1205937893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3249",
"city": "VERNON",
"state": "CT",
"postal_code": "060662149",
"telephone_number": "860-872-2289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "357 HARTFORD TPKE",
"city": "VERNON",
"state": "CT",
"postal_code": "060664838",
"telephone_number": "860-871-2102",
"fax_number": "860-870-0890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONEIL",
"first_name": "LARA",
"middle_name": "T",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2009-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CT",
"license": "003078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vernon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.