Individual provider Active NPI

Heather Marie Lalonde, PA-C, MPAS

  • Medical Physician Assistant
  • Enfield, CT
National Provider Identifier
1235459983
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA3963 Issued in MA
Practice address
155 Hazard Ave
Enfield, CT 06082-4580
Phone
(860) 698-6041
NPI assigned
Jun 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA3963 MA Primary
Medical Physician Assistant 363AM0700X PA3963 CT

Addresses

Primary practice location

155 Hazard Ave
Enfield, CT 06082-4580

Mailing address

242 State St
Granby, MA 01033-9417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH, ME3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20110210000014 MA Practitioner - Physician Assistant 5294915195 Reassigns benefits to 1 organization
I20250610001623 NH Practitioner - Physician Assistant 5294915195 Reassigns benefits to 1 organization
I20251230002066 ME Practitioner - Physician Assistant 5294915195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Convenientmd - FFS UC LLCGroup PAC ID 5193186492, shared by 3 NPIs, 397 clinicians

Practice addresses (Care Compare)

1 Portsmouth Ave
Stratham, NH 03885-2585
Phone (603) 772-3600

193 Bath Rd
Brunswick, ME 04011-2607
Phone (207) 424-2272

2 Dobson Way
Merrimack, NH 03054-4340
Phone (603) 471-6069

3 Nashua Rd
Bedford, NH 03110-5515
Phone (603) 472-6700

599 Lafayette Rd
Portsmouth, NH 03801-5409
Phone (603) 942-7900

999 Dalton Ave
Pittsfield, MA 01201-2903
Phone (413) 242-6577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA3963CTMDMedical Physician Assistant
PA3963MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Convenientmd - FFS UC LLC CurrentSince Apr 10, 2025 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Mar 18, 2025 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Mar 18, 2025 Accepting new patients
Convenientmd - FFS UC LLC CurrentSince Oct 24, 2025 Accepting new patients

Locations

245 Hartford Ave
Bellingham, MA 02019
Phone (774) 295-4355

999 Dalton Ave
Pittsfield, MA 01201
Phone (413) 242-6577

70 Gold Star Blvd
Worcester, MA 01606
Phone (508) 426-9002

600 Center St
Auburn, ME 04210
Phone (207) 783-8951

193 Bath Rd
Brunswick, ME 04011
Phone (207) 424-2272

3 Nashua Rd
Bedford, NH 03110
Phone (603) 472-6700

2 Dobson Way
Merrimack, NH 03054
Phone (603) 471-6069

360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700

Organizations & group practices 7

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": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1235459983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 STATE ST",
            "city": "GRANBY",
            "state": "MA",
            "postal_code": "010339417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HAZARD AVE",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824580",
            "telephone_number": "860-698-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALONDE",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "PA-C, MPAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-04",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA3963",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "PA3963",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

Verify at the official NPI Registry.