Individual provider Active NPI

Kayla N St Hilaire, PA

  • Medical Physician Assistant
  • Waterbury, CT
National Provider Identifier
1538617204
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
56 Franklin St
Waterbury, CT 06706-1238
Phone
(860) 545-9000
NPI assigned
Sep 12, 2016
Last updated
Nov 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

56 Franklin St
Waterbury, CT 06706-1238

Mailing address

60 Hartland St
3Rd Floor Cbo
East Hartford, CT 06108-3250
Phone (860) 837-5615

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kingram26339@connecticutchildrens.direct-ci.com

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
I20170127002111 CT Practitioner - Physician Assistant 5294017109 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Dec 19, 2021 Accepting new patients
Connecticut Children's Specialty Group, Inc. CurrentSince Dec 31, 2016 Accepting new patients

Locations

24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118

60 Hartland St
Fl 3
East Hartford, CT 06108

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

100 Retreat Ave
Fl 5
Hartford, CT 06106
Phone (860) 837-5206

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

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

80 Seymour St
Fl 5
Hartford, CT 06106
Phone (860) 545-8950

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

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

34 Maple St
Norwalk, CT 06850
Phone (203) 852-2000

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

Interoperability endpoints

  • Direct secure messaging: kayla.ingram@xdr.hhchealthdirect.org
  • Direct secure messaging: kingram2389040@direct.trinity-health.org
  • Direct secure messaging: kingram26339@connecticutchildrens.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1538617204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HARTLAND ST",
            "address_2": "3RD FLOOR CBO",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083250",
            "telephone_number": "860-837-5615",
            "fax_number": "860-837-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 FRANKLIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067061238",
            "telephone_number": "860-545-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST HILAIRE",
        "first_name": "KAYLA",
        "middle_name": "N",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kingram26339@connecticutchildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "56 Franklin St",
            "city": "Waterbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "067061238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.