Individual provider Active NPI

Lauren Hart Nichols, PA-C

  • Physician Assistant
  • Westbrook, CT
National Provider Identifier
1619200920
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002300 Issued in CT
Practice address
250 Flat Rock PL
2ND FL
Westbrook, CT 06498-1565
Phone
(860) 358-3640
Fax
(860) 358-8656
NPI assigned
Sep 18, 2009
Last updated
Apr 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002300 CT Primary
Medical Physician Assistant 363AM0700X PA3863 MA

Addresses

Primary practice location

250 Flat Rock PL
2ND FL
Westbrook, CT 06498-1565

Mailing address

28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-4820

Other names 1

  • Lauren Hart Downie Former name

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
I20091007000314 CT Practitioner - Physician Assistant 4183760093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MHS Primary Care, Inc.Group PAC ID 4082507371, 180 clinicians

Practice addresses (Care Compare)

250 Flat Rock PL
Westbrook, CT 06498-3585
Phone (860) 358-3640

270 Main St
Suite a
Portland, CT 06480-1836
Phone (860) 358-5040

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002300CTMDOccupational Therapist
PA3863MAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MHS Primary Care, Inc Physician Assistant CurrentSince Jul 14, 2016 Accepting new patients
MHS Primary Care Inc Physician Assistant CurrentSince Jul 14, 2016 Accepting new patients
Integrated Anesthesia Associates LLC Physician Assistant Past Accepting new patients

Locations

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

410 Saybrook Rd
Ste 201
Middletown, CT 06457
Phone (860) 347-4620

270 Main St
Ste A
Portland, CT 06480
Phone (860) 358-5040

250 Flat Rock Pl
Westbrook, CT 06498
Phone (860) 358-3640

250 Flat Rock Pl
Fl 1
Westbrook, CT 06498
Phone (860) 358-3640

250 Flat Rock Pl
Fl 2
Westbrook, CT 06498
Phone (860) 358-3640

Interoperability endpoints

  • Direct secure messaging: lnichols9821@middlesexhealthprd.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.

Hospital & facility affiliations 3

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": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1619200920",
    "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": "250 FLAT ROCK PL",
            "address_2": "2ND FL",
            "city": "WESTBROOK",
            "state": "CT",
            "postal_code": "064981565",
            "telephone_number": "860-358-3640",
            "fax_number": "860-358-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "LAUREN",
        "middle_name": "HART",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-18",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "002300",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "PA3863",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "DOWNIE",
            "middle_name": "HART",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westbrook, CT

Sources for this page

Verify at the official NPI Registry.