Individual provider Active NPI

Renee Leigh Lacadie, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Manchester, CT
National Provider Identifier
1265818355
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
6184 Issued in CT
Practice address
71 Haynes St
Manchester, CT 06040-4131
Phone
(860) 533-3494
NPI assigned
Jul 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 6184 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 6184 CT Primary

Addresses

Primary practice location

71 Haynes St
Manchester, CT 06040-4131

Mailing address

65 Bittersweet Dr
Gales Ferry, CT 06335-1002
Phone (860) 442-0711

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
I20151005002316 CT Practitioner - Nurse Practitioner 7618285008 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Connecticut School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Behavioral Care of Connecticut PCGroup PAC ID 9436502879, 132 clinicians

Practice addresses (Care Compare)

169 Main St
FL 3
Middletown, CT 06457-3423
Phone (203) 819-0789

200 W Town St
Norwich, CT 06360-2112
Phone (203) 819-0789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Feb 8, 2024 Accepting new patients
Step Up Care PC LLC CurrentSince Sep 2, 2019 Accepting new patients
Prospect Manchester Hospital, Inc. CurrentSince Nov 8, 2023 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Feb 8, 2024 Accepting new patients
Deep Blue Retina, PLLC PastSince Feb 10, 2025 Accepting new patients
Delta Physical Therapy LLC PastSince Sep 13, 2020 Accepting new patients
Eastern Connecticut Medical Professionals Foundation, Inc Past Accepting new patients

Locations

191 Albany Tpke
Ste 3
Canton, CT 06019

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

169 Main St
Fl 3
Middletown, CT 06457
Phone (610) 618-6247

200 W Town St
Norwich, CT 06360
Phone (860) 886-1508

205 Old Boston Post Rd
Old Saybrook, CT 06475
Phone (860) 339-6600

122 E Main St
Plainville, CT 06062
Phone (860) 747-4759

31 Union St
Vernon Rockvl, CT 06066
Phone (860) 289-6451

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Interoperability endpoints

  • Direct secure messaging: renee.lacadie.1@28623.direct.athenahealth.com

Organizations & group practices 8

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": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516320000000",
    "number": "1265818355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 BITTERSWEET DR",
            "city": "GALES FERRY",
            "state": "CT",
            "postal_code": "063351002",
            "telephone_number": "860-442-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 HAYNES ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404131",
            "telephone_number": "860-533-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACADIE",
        "first_name": "RENEE",
        "middle_name": "LEIGH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2018-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CT",
            "license": "6184",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "6184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.