Active NPI
David J Lachance, APRN
- Nurse Practitioner
- Putnam, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 223326
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4142199 | Other | MVP HEALTH CARE | |
| 77213 | Other | HEALTHY START | |
| 0702706 | Other | MEDICAID WELFARE | |
| 77213 | Other | CHILDRENS MEDICAL SECURIT | |
| AA19499 | Other | HARVARD PILGRIM HEALTHCAR | |
| NP4788 | Other | MEDICARE B | |
| 042472266 | Other | THREE RIVERS | |
| 0727706 | Medicaid | MA | |
| 93026 | Other | FALLON COMMUNITY HEALTH P | |
| 042472266 | Other | PRIVATE 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
Enrollment records 1
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
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 100
- Quality
- 83.12
- Improvement activities
- 40
- Cost
- 84.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3507 | CT | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norwich Orthopedic Group, P.C. | Current | Accepting new patients | |
| Day Kimball Medical Group Inc | Current | Accepting new patients | |
| Norwich Orthopedic Group, P.C. | Current | 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
- david.lachance.1@1694.direct.athenahealth.com
- https://api.platform.athenahealth.com/1694/brand/19/csg/48/fhir/r4
- 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.
-
- Family Medicine Physician
- Putnam, CT
- NPI 1376813972
-
- Orthopaedic Surgery Physician
- North Franklin, CT
- NPI 1558316919
-
- Orthopaedic Surgery Physician
- Westerly, RI
- NPI 1154032761
-
- Physical Therapist
- Worcester, MA
- NPI 1295827962
-
- Family Medicine Physician
- Worcester, MA
- NPI 1720017528
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Putnam, CT
- NPI 1205056371
-
- General Acute Care Hospital
- Putnam, CT
- NPI 1649243478
-
- Skilled Nursing Facility
- Dayville, CT
- NPI 1144377508
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.