Individual provider Active NPI

Laure Louis-Charles, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Glastonbury, CT
National Provider Identifier
1700732880
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
12.015494 Issued in CT
Practice address
110 National Dr
Glastonbury, CT 06033-4371
Phone
(860) 657-8910
NPI assigned
Mar 10, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 12.015494 CT Primary

Addresses

Primary practice location

110 National Dr
Glastonbury, CT 06033-4371

Mailing address

110 National Dr
Glastonbury, CT 06033-4371
Phone (860) 657-8910

Other practice location 1

35 Tower Ln
Avon, CT 06001-4237
Phone (860) 284-0048

Other practice location 2

680 S Main St
Cheshire, CT 06410-3181
Phone (203) 699-2020

Other practice location 3

883 Paddock Ave
Meriden, CT 06450-7044
Phone (203) 630-5280

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
I20260507003751 CT Practitioner - Nurse Practitioner 2264900265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rushford Center IncGroup PAC ID 1153227756, 26 clinicians

Practice addresses (Care Compare)

883 Paddock Ave
Meriden, CT 06450-7044
Phone (203) 630-5220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12.015494CTMDPsychiatric/Mental Health Nurse Practitioner

Organizations & group practices 1

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": "1773100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1700732880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 NATIONAL DR",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334371",
            "telephone_number": "860-657-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NATIONAL DR",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334371",
            "telephone_number": "860-657-8910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Tower Ln",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CT",
            "postal_code": "060014237",
            "country_code": "US",
            "telephone_number": "860-284-0048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 S Main St",
            "address_purpose": "LOCATION",
            "city": "Cheshire",
            "state": "CT",
            "postal_code": "064103181",
            "country_code": "US",
            "telephone_number": "203-699-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "883 Paddock Ave",
            "address_purpose": "LOCATION",
            "city": "Meriden",
            "state": "CT",
            "postal_code": "064507044",
            "country_code": "US",
            "telephone_number": "203-630-5280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUIS-CHARLES",
        "first_name": "LAURE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "12.015494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.