Individual provider Active NPI

Sabrina Michelle Lachowicz, P.A.

  • Physician Assistant
  • Hartford, CT
National Provider Identifier
1679506539
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3499 Issued in CT
Practice address
85 Seymour St Ste 500
Hartford, CT 06106-5524
Phone
(605) 459-4408
Fax
(860) 545-9445
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3499 CT Primary

Addresses

Primary practice location

85 Seymour St Ste 500
Hartford, CT 06106-5524

Mailing address

380 Main St
Ste 1
Watertown, CT 06795-2260
Phone (336) 993-8333

Other practice location 1

240 Broad St
Kernersville, NC 27284-2930
Phone (336) 993-8333

Other identifiers 3

IdentifierTypeStateIssuer
001000150OtherNCMEDICAL BOARD LICENSE
003499OtherCTMEDICAL LICENSE
1066715OtherNCPA CERTIFICATE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address slachowicz86921@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
I20180201003144 CT Practitioner - Physician Assistant 4789687559 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Children'S Specialty Group, Inc. Physician Assistant CurrentSince Aug 3, 2023 Accepting new patients
Connecticut Children'S Medical Center Past Accepting new patients

Locations

105 Newtown Rd
#A
Danbury, CT 06810
Phone (860) 545-9395

505 Farmington Ave
Fl 1
Farmington, CT 06032

505 Farmington Ave
#1
Farmington, CT 06032

310 Western Blvd
Glastonbury, CT 06033
Phone (860) 837-9877

85 Seymour St
Ste 500
Hartford, CT 06106
Phone (860) 545-9370

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

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

10 Columbus Blvd
Fl 4
Hartford, CT 06106
Phone (860) 837-5560

191 Post Rd W
#1
Westport, CT 06880

Interoperability endpoints

  • Direct secure messaging: slachowicz86921@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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1679506539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 MAIN ST",
            "address_2": "STE 1",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067952260",
            "telephone_number": "336-993-8333",
            "fax_number": "336-993-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST STE 500",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065524",
            "telephone_number": "605-459-4408",
            "fax_number": "860-545-9445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Broad St",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "272842930",
            "country_code": "US",
            "telephone_number": "336-993-8333",
            "fax_number": "336-993-5144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACHOWICZ",
        "first_name": "SABRINA",
        "middle_name": "MICHELLE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "3499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD LICENSE",
            "identifier": "001000150",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "003499",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA CERTIFICATE",
            "identifier": "1066715",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "slachowicz86921@connecticutchildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "85 Seymour St Ste 500",
            "city": "Hartford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "061065524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.