Individual provider Active NPI

David J Lachance, APRN

  • Nurse Practitioner
  • Putnam, CT
National Provider Identifier
1295700813
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
223326 Issued in MA
Practice address
35 Kennedy Dr
Putnam, CT 06260-1939
Phone
(860) 963-3883
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 223326 MA Primary

Addresses

Primary practice location

35 Kennedy Dr
Putnam, CT 06260-1939

Mailing address

320 Pomfret St
Putnam, CT 06260-1836
Phone (860) 928-6541

Other practice location 1

320 Pomfret St
Putnam, CT 06260-1836
Phone (860) 928-6541

Other identifiers 10

IdentifierTypeStateIssuer
4142199OtherMVP HEALTH CARE
77213OtherHEALTHY START
0702706OtherMEDICAID WELFARE
77213OtherCHILDRENS MEDICAL SECURIT
AA19499OtherHARVARD PILGRIM HEALTHCAR
NP4788OtherMEDICARE B
042472266OtherTHREE RIVERS
0727706MedicaidMA
93026OtherFALLON COMMUNITY HEALTH P
042472266OtherPRIVATE HEALTHCARE SYSTEM

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
I20070110000012 CT Practitioner - Nurse Practitioner 5890757264 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Day Kimball Medical Group IncGroup PAC ID 1557514411, 91 clinicians

Practice addresses (Care Compare)

320 Pomfret St
Putnam, CT 06260-1836
Phone (860) 928-6541

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.95 of 100Reported as group
Quality
83.12
Improvement activities
40
Cost
84.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3507CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Norwich Orthopedic Group, P.C. CurrentSince Jan 1, 2022 Accepting new patients
Day Kimball Medical Group Inc CurrentSince Dec 4, 2023 Accepting new patients
Norwich Orthopedic Group, P.C. CurrentSince Jan 1, 2022 Accepting new patients
Reliant Medical Group, Inc Past Accepting new patients
Reliant Medical Group, Inc Past Accepting new patients

Locations

132 Westminster Rd
Canterbury, CT 06331
Phone (860) 546-2225

82 New Park Ave
North Franklin, CT 06254
Phone (860) 889-7345

12 Lathrop Rd
Plainfield, CT 06374
Phone (860) 457-9150

320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331

12 S Main St
Ste 2
Putnam, CT 06260

35 Kennedy Dr
Putnam, CT 06260
Phone (860) 963-2133

5 Founders St
Ste 202
Willimantic, CT 06226
Phone (860) 456-3997

Interoperability endpoints

  • Direct secure messaging: david.lachance.1@1694.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1694/brand/19/csg/48/fhir/r4
  • Direct secure messaging: davidlachance@nog.allscriptsdirect.net

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1295700813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 POMFRET ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601836",
            "telephone_number": "860-928-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 KENNEDY DR",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601939",
            "telephone_number": "860-963-3883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Pomfret St",
            "address_purpose": "LOCATION",
            "city": "Putnam",
            "state": "CT",
            "postal_code": "062601836",
            "country_code": "US",
            "telephone_number": "860-928-6541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACHANCE",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "223326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTH CARE",
            "identifier": "4142199",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY START",
            "identifier": "77213",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WELFARE",
            "identifier": "0702706",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDRENS MEDICAL SECURIT",
            "identifier": "77213",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCAR",
            "identifier": "AA19499",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B",
            "identifier": "NP4788",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THREE RIVERS",
            "identifier": "042472266",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0727706",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON COMMUNITY HEALTH P",
            "identifier": "93026",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE SYSTEM",
            "identifier": "042472266",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Putnam, CT

Sources for this page

Verify at the official NPI Registry.