Active NPI
Desiree Lynn Lavery, NP-C
- Nurse Practitioner
- Thomaston, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 12.007545
- Practice address
- 205 S Main St
Thomaston, CT 06787-1740 - Phone
- (860) 283-6255
- NPI assigned
- Apr 22, 2018
- Last updated
- May 9, 2019
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 12.007545 | CT | Primary |
Addresses
Primary practice location
205 S Main St
Thomaston, CT 06787-1740
Mailing address
205 S Main St
Thomaston, CT 06787-1740
Phone (860) 384-0300
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Centerpoint Dr
Suite 215
Middletown, CT 06457-7568
Phone (888) 964-6681
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12.007545 | CT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HDC Care Solutions, LLC | Nurse Practitioner | Current | Accepting new patients |
| Value Based Long Term Care H PC | Current | Accepting new patients | |
| Prospect CT Medical Foundation, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Healthdrive Medical Services Southeast LLC | Nurse Practitioner | Current | Accepting new patients |
| Careconnectmd Connecticut PC | Current | Accepting new patients | |
| Absolute Outcomes, LLC | Past | Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
1801 W Olympic Blvd
#2201
Pasadena, CA 91199
18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557
101 Centerpoint Dr
Ste 215
Middletown, CT 06457
Phone (203) 696-3550
5 Research Dr
Shelton, CT 06484
Phone (203) 567-5264
1266 E Main St
Stamford, CT 06902
Phone (203) 276-3000
Interoperability endpoints
- desireelavery@amggw.allscriptsdirect.net
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Geriatric Medicine (Internal Medicine) Physician
- Stamford, CT
- NPI 1467187336
-
- Family Medicine Physician
- Manchester, CT
- NPI 1144677568
Nurse Practitioner
-
- Geriatric Medicine (Internal Medicine) Physician
- Framingham, MA
- NPI 1134951676
CT
-
- Internal Medicine Physician
- Monroe, CT
- NPI 1073746202
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Derby, CT
- NPI 1184639973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1265929533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 S MAIN ST",
"city": "THOMASTON",
"state": "CT",
"postal_code": "067871740",
"telephone_number": "860-384-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 S MAIN ST",
"city": "THOMASTON",
"state": "CT",
"postal_code": "067871740",
"telephone_number": "860-283-6255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVERY",
"first_name": "DESIREE",
"middle_name": "LYNN",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-22",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CT",
"license": "12.007545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thomaston, CT
- Judith Lombardo DMD LLC Dba Thomaston Dental Associates
- Bradley Kozikowski
- Steven Krasnowski
- Paula Kuklinska-Romot
- Lagom Lifestyle Counseling LLC
- Arthur L Lebowitz, M.D.
- Yolanda Victoria Lee, LMFT
- Lemon Tree Counseling Services, LLC (Lemon Tree Counseling Services)
- Felechia M Lewis, LCSW
- Melissa Lewis, COTA/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.