Lucinda L Hautaniemi, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

025707 Issued in CT

Practice address

154 Main St
Old Saybrook, CT 06475-2373

Phone

(860) 395-1212

Fax

(860) 358-8654

NPI assigned

Jun 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1437193273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573654",
            "telephone_number": "860-358-4820",
            "fax_number": "860-358-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 MAIN ST",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752373",
            "telephone_number": "860-395-1212",
            "fax_number": "860-358-8654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUTANIEMI",
        "first_name": "LUCINDA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "025707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1257070",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leonard G. Guitar, PSY.D.
• Harbor Home Care Co. (Right at Home)
• Carla Harper, LPC
• Marjorie Glosband Hart, LCSW
• Lucille Wymer Hartman, PTA
• Cheryl Henderson, PSYD
• Karyn L Hester
• Michelle Higginson, MD
• Ryan Hocking, LCSW
• Nicole Victoria Hodgdon, PHARM.D.

• Family Medicine Physician in Old Saybrook, CT
• Providers in Old Saybrook, CT by specialty
• Family Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.