Individual provider Active NPI

Talia Lachcik, FNP-C

  • Family Nurse Practitioner
  • Vernon, CT
National Provider Identifier
1730688250
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7466 Issued in CT
Practice address
554 Talcottville Rd
Vernon, CT 06066-2310
Phone
(860) 875-6700
NPI assigned
Feb 10, 2018
Last updated
Aug 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7466 CT Primary

Addresses

Primary practice location

554 Talcottville Rd
Vernon, CT 06066-2310

Mailing address

538 Center Rd
Woodstock, CT 06281-1714
Phone (860) 933-2312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180328000790 CT Practitioner - Nurse Practitioner 2668734831 Reassigns benefits to 1 organization
I20200320001015 MA Practitioner - Nurse Practitioner 2668734831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reliant Medical Group IncGroup PAC ID 5597755322, 638 clinicians

Practice addresses (Care Compare)

24 Newton St
Southborough, MA 01772-1215
Phone (508) 486-4472

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7466CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Medical Group, Inc CurrentSince Mar 2, 2020 Accepting new patients
Prohealth Physicians PC Family CurrentSince Mar 19, 2018 Accepting new patients
Prohealth Physicians, Inc. Family PastSince Mar 19, 2018 Accepting new patients

Locations

3 Farm Glen Blvd
Farmington, CT 06032
Phone (860) 284-5200

554 Talcottville Rd
Vernon, CT 06066
Phone (860) 875-6700

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

24 Newton St
Southborough, MA 01772
Phone (508) 460-3190

5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300

Interoperability endpoints

  • Direct secure messaging: talia.lachcik.npi1730688250.reliant@direct.optumcare.masshiway.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1518220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1730688250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 CENTER RD",
            "city": "WOODSTOCK",
            "state": "CT",
            "postal_code": "062811714",
            "telephone_number": "860-933-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 TALCOTTVILLE RD",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060662310",
            "telephone_number": "860-875-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACHCIK",
        "first_name": "TALIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-10",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "7466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

Verify at the official NPI Registry.