Active NPI
Elisa Danielle Lafayette, PA
- Medical Physician Assistant
- Greenfield, MA
National Provider Identifier
1396147443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA100078
- Practice address
- 164 High St
Greenfield, MA 01301-2613 - Phone
- (413) 773-2263
- Fax
- (413) 773-2127
- NPI assigned
- Sep 19, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1043 | NH | |
| Medical Physician Assistant | 363AM0700X | PA100078 | MA | Primary |
Addresses
Primary practice location
164 High St
Greenfield, MA 01301-2613
Mailing address
280 Chestnut St FL 2
Springfield, MA 01199-1001
Phone (413) 794-5700
Other practice location 1
580 Court St
Keene, NH 03431-1718
Phone (603) 354-5454
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | elafayette@pchpmd.medentdirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1043 | NH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Health Partners - New York LLP | Past | Accepting new patients |
Interoperability endpoints
- elafayette158025@direct.dartmouth-hitchcock.org
Organizations & group practices 1
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
- Plattsburgh, NY
- NPI 1003861782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1396147443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 CHESTNUT ST FL 2",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011991001",
"telephone_number": "413-794-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 HIGH ST",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013012613",
"telephone_number": "413-773-2263",
"fax_number": "413-773-2127"
}
],
"practiceLocations": [
{
"address_1": "580 Court St",
"address_purpose": "LOCATION",
"city": "Keene",
"state": "NH",
"postal_code": "034311718",
"country_code": "US",
"telephone_number": "603-354-5454",
"fax_number": "603-354-6535",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAFAYETTE",
"first_name": "ELISA",
"middle_name": "DANIELLE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-19",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NH",
"license": "1043",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MA",
"license": "PA100078",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "elafayette@pchpmd.medentdirect.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "21 Belmont Ave",
"city": "Brattleboro",
"state": "VT",
"country_code": "US",
"postal_code": "053017110",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.