NPIMap

Individual provider Active NPI

Alisa Hardy Lukas, NP

  • Family Nurse Practitioner
  • West Hartford, CT
National Provider Identifier
1649559063
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2479 Issued in CT
Practice address
345 N Main St Ste 112
West Hartford, CT 06117-2508
Phone
(860) 236-3000
Fax
(860) 232-2746
NPI assigned
Aug 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 360551 NY
Family Nurse Practitioner 363LF0000X 2479 CT Primary

Addresses

Primary practice location

345 N Main St Ste 112
West Hartford, CT 06117-2508

Mailing address

335 Parrish Street
Canandaigua, NY 14424-1794
Phone (585) 393-2888

Other practice location 1

335 Parrish St
Canandaigua, NY 14424-1728
Phone (585) 393-2888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111101000595 CT Practitioner - Nurse Practitioner 9638342991 Reassigns benefits to 2 organizations
I20151110001799 NY Practitioner - Nurse Practitioner 9638342991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group IncGroup PAC ID 1153573902, 257 clinicians

Practice addresses (Care Compare)

8 Vista Dr
Old Lyme, CT 06371-1587
Phone (860) 434-8847

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Sep 25, 2023 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Jan 6, 2020 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Jan 6, 2020 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Sep 25, 2023 Accepting new patients
Hartford Healthcare Medical Group, Inc CurrentSince Jul 15, 2024 Accepting new patients
Hartford Healthcare Medical Group, Inc Past Accepting new patients

Locations

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

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

8 Vista Dr
Old Lyme, CT 06371
Phone (646) 942-7318

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

428 Hartford Tpke
Vernon Rockville, CT 06066
Phone (860) 871-2508

345 N Main St
Ste 112
West Hartford, CT 06117
Phone (860) 236-3000

350 Parrish St
Canandaigua, NY 14424
Phone (585) 396-6000

335 Parrish St
Canandaigua, NY 14424
Phone (585) 393-2888

73 Buffalo St
Ste 100
Canandaigua, NY 14424

15 Canandaigua St
Shortsville, NY 14548
Phone (585) 289-3560

Interoperability endpoints

  • Direct secure messaging: alisa.lukas@xdr.hhchealthdirect.org

Organizations & group practices 6

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

Hospital & facility affiliations 8

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": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1649559063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 PARRISH STREET",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241794",
            "telephone_number": "585-393-2888",
            "fax_number": "585-919-2547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 N MAIN ST STE 112",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172508",
            "telephone_number": "860-236-3000",
            "fax_number": "860-232-2746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "335 Parrish St",
            "address_purpose": "LOCATION",
            "city": "Canandaigua",
            "state": "NY",
            "postal_code": "144241728",
            "country_code": "US",
            "telephone_number": "585-393-2888",
            "fax_number": "585-919-2547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDY LUKAS",
        "first_name": "ALISA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NY",
            "license": "360551",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "2479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.