Individual provider Active NPI

Lloydacia Stephens, PA

  • Physician Assistant
  • Southbury, CT
National Provider Identifier
1306311451
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4258 Issued in CT
Practice address
22 Depot Hill Rd
Southbury, CT 06488-2258
Phone
(203) 262-1831
NPI assigned
Oct 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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 4258 CT
Physician Assistant 363A00000X 4258 CT Primary

Addresses

Primary practice location

22 Depot Hill Rd
Southbury, CT 06488-2258

Mailing address

22 Depot Hill Rd
Southbury, CT 06488-2258

Other identifiers 1

IdentifierTypeStateIssuer
4258OtherCTCT LICESNE

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
I20181026000384 CT Practitioner - Physician Assistant 9638422330 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MC Diagnostic of Connecticut, P.C.Group PAC ID 0941382113, 66 clinicians

Practice addresses (Care Compare)

1 Hawley LN
Stratford, CT 06614-1200
Phone (866) 389-2727

1239 E Putnam Ave
Riverside, CT 06878-1522
Phone (866) 389-2727

1279 W Main St
Waterbury, CT 06708-3101
Phone (866) 389-2727

22 Depot Hill Rd
Southbury, CT 06488-2258
Phone (866) 389-2727

3514 Main St
Coventry, CT 06238-1551
Phone (866) 389-2727

7 Durant Ave
Bethel, CT 06801-1906
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4258CTMDGeneral Practice Dentistry
59385CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Jun 17, 2025 Accepting new patients
American Current Care PA CurrentSince Jun 17, 2025 Accepting new patients
Minuteclinic Primary Care Connecticut PLLC Physician Assistant CurrentSince Sep 1, 2025 Accepting new patients

Locations

3514 Main St
Coventry, CT 06238
Phone (860) 298-5925

701 Main St
East Hartford, CT 06108
Phone (860) 289-5561

323 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 384-9666

22 Depot Hill Rd
Southbury, CT 06488
Phone (203) 262-1831

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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.

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1306311451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 DEPOT HILL RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 DEPOT HILL RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882258",
            "telephone_number": "203-262-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "LLOYDACIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "4258",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "4258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LICESNE",
            "identifier": "4258",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

Verify at the official NPI Registry.