Individual provider Active NPI

Laura Varian Lucarelli, APRN

  • Neonatal Nurse Practitioner
  • Middletown, CT
National Provider Identifier
1386934578
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
004638 Issued in CT
Practice address
28 Crescent St
Middletown, CT 06457-3650
Phone
(860) 358-6183
NPI assigned
Apr 9, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 004638 CT Primary

Addresses

Primary practice location

28 Crescent St
Middletown, CT 06457-3650

Mailing address

107 Christian Hill Rd
Higganum, CT 06441-4078

Other practice location 1

263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-2397

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
I20111121000189 CT Practitioner - Nurse Practitioner 2860666203 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004638CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Hospital CurrentSince Oct 1, 2012 Accepting new patients
Prospect CT Medical Foundation, Inc. CurrentSince Dec 13, 2021 Accepting new patients
Connecticut Children'S Specialty Group, Inc. CurrentSince Sep 18, 2011 Accepting new patients
Day Kimball Medical Group Inc CurrentSince Oct 7, 2021 Accepting new patients
Middlesex Hospital CurrentSince Oct 1, 2012 Accepting new patients
Connecticut Children'S Specialty Group, Inc. CurrentSince Sep 18, 2011 Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

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

60 Hartland St
East Hartford, CT 06108

263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

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

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

90 S Main St
Middletown, CT 06457
Phone (860) 358-6300

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

Interoperability endpoints

  • Direct secure messaging: llucarelli14528@middlesexhealthprd.direct-ci.com
  • Direct secure messaging: lpittari10949@direct.med.uchc.edu
  • FHIR API: https://api.platform.athenahealth.com/1694/brand/19/csg/48/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1386934578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CHRISTIAN HILL RD",
            "city": "HIGGANUM",
            "state": "CT",
            "postal_code": "064414078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573650",
            "telephone_number": "860-358-6183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 Farmington Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060300001",
            "country_code": "US",
            "telephone_number": "860-679-2397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCARELLI",
        "first_name": "LAURA",
        "middle_name": "VARIAN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-09",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "CT",
            "license": "004638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.