Individual provider Active NPI

Andrea Lynn Delaire, APRN

  • Family Nurse Practitioner
  • Vernon, CT
National Provider Identifier
1669082830
Registry record updated Jul 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
008892 Issued in CT
Practice address
206 Talcottville Rd
Vernon, CT 06066-4617
Phone
(860) 645-1100
NPI assigned
Aug 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 8892 CT
Family Nurse Practitioner 363LF0000X 008892 CT Primary

Addresses

Primary practice location

206 Talcottville Rd
Vernon, CT 06066-4617

Mailing address

31 Seymour Street
Hartford Hospital Orthopedic Services Prepare
Hartford, CT 06106-5521
Phone (860) 972-0475

Other practice location 1

921 Boston Tpke
Bolton, CT 06043-7479
Phone (860) 646-0649

Other practice location 2

31 Seymour Street
Hartford Hospital Orthopedic Services-PREPARE
Hartford, CT 06106-5521
Phone (860) 972-0475

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
I20210608002444 CT Practitioner - Nurse Practitioner 6901206226 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prohealth Physicians PCGroup PAC ID 1355246950, 214 clinicians

Practice addresses (Care Compare)

206 Talcottville Rd
Vernon, CT 06066-4617
Phone (860) 645-1100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008892CTMDClinical Social Worker
8892CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect CT Medical Foundation, Inc. CurrentSince Dec 1, 2023 Accepting new patients
Prohealth Physicians PC Family CurrentSince Sep 8, 2025 Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

206 Talcottville Rd
Vernon, CT 06066
Phone (860) 645-1100

115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752278400000",
    "number": "1669082830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SEYMOUR STREET",
            "address_2": "HARTFORD HOSPITAL ORTHOPEDIC SERVICES PREPARE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065521",
            "telephone_number": "860-972-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 TALCOTTVILLE RD",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664617",
            "telephone_number": "860-645-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "921 Boston Tpke",
            "address_purpose": "LOCATION",
            "city": "Bolton",
            "state": "CT",
            "postal_code": "060437479",
            "country_code": "US",
            "telephone_number": "860-646-0649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 Seymour Street",
            "address_2": "Hartford Hospital Orthopedic Services-PREPARE",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061065521",
            "country_code": "US",
            "telephone_number": "860-972-0475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELAIRE",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CT",
            "license": "8892",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "008892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

Verify at the official NPI Registry.