Individual provider Active NPI

Courtney Ashton Lasky, CNM

  • Midwife
  • New London, CT
National Provider Identifier
1588304463
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
16.000574 Issued in CT
Practice address
3 Shaws CV
New London, CT 06320-4952
Phone
(860) 443-4148
Fax
(860) 574-9040
NPI assigned
Mar 30, 2022
Last updated
Jun 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 16.000574 CT Primary

Addresses

Primary practice location

3 Shaws CV
New London, CT 06320-4952

Mailing address

3 Shaws CV Ste 206
New London, CT 06320-4968
Phone (860) 443-4148

Other practice location 1

365 Montauk Ave
New London, CT 06320-4769
Phone (860) 442-0711

Other names 1

  • Courtney Ashton Leblanc Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221007002391 MA Practitioner - Certified Nurse Midwife (CNM) 1850777202
I20240809000413 CT Practitioner - Certified Nurse Midwife (CNM) 1850777202 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
574CTMDNaturopath
16.000574CTMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Sep 2, 2024 Accepting new patients
Atrius Health, Inc. CurrentSince Dec 1, 2022 Accepting new patients
Atrius Health, Inc. CurrentSince Dec 1, 2022 Accepting new patients
Atrius Health, Inc. Current Accepting new patients

Locations

3 Shaws Cv
New London, CT 06320
Phone (860) 442-0400

3 Shaws Cv
Ste 206
New London, CT 06320
Phone (860) 443-0622

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

99 Hawley Ln
Fl 3
Stratford, CT 06614
Phone (203) 502-4650

2 Sandy Desert Rd
Uncasville, CT 06382
Phone (860) 464-3600

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

1611 Cambridge St
Cambridge, MA 02138
Phone (617) 661-5100

Interoperability endpoints

  • Direct secure messaging: cleblanc679792@direct.ynhh.org

Organizations & group practices 4

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": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1588304463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SHAWS CV STE 206",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204968",
            "telephone_number": "860-443-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SHAWS CV",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204952",
            "telephone_number": "860-443-4148",
            "fax_number": "860-574-9040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "365 Montauk Ave",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "CT",
            "postal_code": "063204769",
            "country_code": "US",
            "telephone_number": "860-442-0711",
            "fax_number": "860-444-4740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASKY",
        "first_name": "COURTNEY",
        "middle_name": "ASHTON",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CT",
            "license": "16.000574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "LEBLANC",
            "middle_name": "ASHTON",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.