Individual provider Active NPI

Alexi A Girard, PA-C

  • Physician Assistant
  • Glastonbury, CT
National Provider Identifier
1225407141
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5068 Issued in CT
Practice address
330 Western Blvd Ste 102
Glastonbury, CT 06033-4383
Phone
(860) 547-0306
NPI assigned
Sep 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DI100000733 DC
Surgical Physician Assistant 363AS0400X
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 5068 CT Primary

Addresses

Primary practice location

330 Western Blvd Ste 102
Glastonbury, CT 06033-4383

Mailing address

330 Western Blvd Ste 102
Glastonbury, CT 06033-4383
Phone (860) 547-0306

Other names 1

  • Alexi A Tetrault Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210120001652 CT Practitioner - Physician Assistant 1153735857 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians for Women'S Health, LLCGroup PAC ID 3274430665, 319 clinicians

Practice addresses (Care Compare)

100 Retreat Ave
Suite 700
Hartford, CT 06106-2553
Phone (860) 547-0306

103 Newtown Rd
Candlewood Center for Womens Health
Danbury, CT 06810-4195
Phone (203) 730-8789

330 Western Blvd
102 Womens Comprehensive Health Care
Glastonbury, CT 06033-4383
Phone (860) 547-0306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
DI100000733DCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Feb 15, 2021 Accepting new patients
Hartford Healthcare Medical Group, Inc Physician Assistant CurrentSince May 6, 2022 Accepting new patients

Locations

330 Western Blvd
Ste 102
Glastonbury, CT 06033
Phone (860) 547-0306

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

Interoperability endpoints

  • Direct secure messaging: alexi.girard.1@10170.direct.athenahealth.com

Organizations & group practices 4

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": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1225407141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 WESTERN BLVD STE 102",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334383",
            "telephone_number": "860-547-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 WESTERN BLVD STE 102",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334383",
            "telephone_number": "860-547-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRARD",
        "first_name": "ALEXI",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "DC",
            "license": "DI100000733",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "5068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXI",
            "last_name": "TETRAULT",
            "middle_name": "A",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.