Individual provider Active NPI

Lauren Marie McTeague, APRN

  • Nurse Practitioner
  • Worcester, MA
National Provider Identifier
1235205683
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN003518 Issued in CT
Practice address
100 Grove St Ste 115
Worcester, MA 01605-2630
Phone
(833) 904-0620
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN0080085 CT
Nurse Practitioner 363L00000X APRN003518 CT Primary

Addresses

Primary practice location

100 Grove St Ste 115
Worcester, MA 01605-2630

Mailing address

100 Grove St Ste 115
Worcester, MA 01605-2630

Other identifiers 1

IdentifierTypeStateIssuer
004236007MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061222000212 CT Practitioner - Nurse Practitioner 3779583737 Reassigns benefits to 1 organization
I20230419001288 MA Practitioner - Nurse Practitioner 3779583737 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN0080085CTMDRegistered Nurse
APRN003518CTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince May 6, 2013 Accepting new patients
Cityblock Medical Practice, P.a. CurrentSince Mar 1, 2023 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince May 6, 2013 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Past Accepting new patients
Cityblock Medical Practice CT, P.C. PastSince May 1, 2020 Accepting new patients

Locations

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

1290 Silas Deane Hwy
Fl 2
Wethersfield, CT 06109
Phone (860) 224-5305

100 Grove St
Ste 115
Worcester, MA 01605
Phone (347) 463-5529

495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (215) 588-1676

495 Flatbush Ave
Brooklyn, NY 11225
Phone 80033611001

Organizations & group practices 5

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1235205683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GROVE ST STE 115",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GROVE ST STE 115",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052630",
            "telephone_number": "833-904-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCTEAGUE",
        "first_name": "LAUREN",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "RN0080085",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "APRN003518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004236007",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.