NPIMap

Individual provider Active NPI

Alexandra Lamonica, MSN, RN, FNP-BC

  • Family Nurse Practitioner
  • Waterford, CT
National Provider Identifier
1417539040
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9663 Issued in CT
Practice address
196 Waterford Pkwy S
Waterford, CT 06385-1234
Phone
(860) 443-4455
NPI assigned
Apr 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9663 CT Primary

Addresses

Primary practice location

196 Waterford Pkwy S
Waterford, CT 06385-1234

Mailing address

6 W Willow Grove Ave Apt 302
Philadelphia, PA 19118-3969
Phone (203) 448-7821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210806001720 CT Practitioner - Nurse Practitioner 3173927563 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The William W Backus HospitalGroup PAC ID 0749170645, 248 clinicians

Practice addresses (Care Compare)

326 Washington St
Norwich, CT 06360-2740
Phone (860) 889-8331

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.8 of 100Reported as group
Quality
90
Promoting interoperability
100
Improvement activities
40
Cost
78.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
William W Backus Hospital CurrentSince Aug 2, 2021 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Aug 2, 2021 Accepting new patients
Windham Community Memorial Hospital, Inc. CurrentSince Nov 6, 2023 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Aug 2, 2021 Accepting new patients
The William W Backus Hospital Current Accepting new patients
The William W Backus Hospital Family Past Accepting new patients
Windham Community Memorial Hospital Past Accepting new patients

Locations

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

196 Parkway S
Ste 303
Waterford, CT 06385
Phone (860) 443-4455

196 Parkway S
Unit 303
Waterford, CT 06385

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

5 Founders St
Ste 200
Willimantic, CT 06226
Phone (860) 456-5330

112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410

Interoperability endpoints

  • Direct secure messaging: alexandra.lamonica@xdr.hhchealthdirect.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1417539040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 W WILLOW GROVE AVE APT 302",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191183969",
            "telephone_number": "203-448-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 WATERFORD PKWY S",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851234",
            "telephone_number": "860-443-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMONICA",
        "first_name": "ALEXANDRA",
        "credential": "MSN, RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-23",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "9663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, CT

Sources for this page

Verify at the official NPI Registry.