Active NPI
Awilda Altagracia Lugo Mendez, APRN
- Family Nurse Practitioner
- Waterbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 6886
- Practice address
- 80 Phoenix Ave Ste 201
Waterbury, CT 06702-1418 - Phone
- (203) 756-8021
- Fax
- (888) 965-5624
- NPI assigned
- Jan 10, 2017
- Last updated
- Jan 10, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6886 | CT | Primary |
Addresses
Primary practice location
80 Phoenix Ave Ste 201
Waterbury, CT 06702-1418
Mailing address
241-3 Judith Lane
Waterbury, CT 06704
Phone (203) 510-1187
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2550 Main St
Hartford, CT 06120-1936
44 Abbott Ter
Waterbury, CT 06702-1431
Phone (718) 298-4375
615 W Johnson Ave
Suite 202 1061
Cheshire, CT 06410-4531
Phone (475) 377-0887
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.14 of 100
- Quality
- 71.85
- Improvement activities
- 40
- Cost
- 75.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6886 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renewed Health and Wellness LLC | Family | Current | Accepting new patients |
| Step Up Care PC LLC | Current | Accepting new patients | |
| Renewed Health and Wellness LLC | Current | Accepting new patients | |
| Impact Health P.C. | Family | Current | Accepting new patients |
| Hartford Community Mental Health Center Inc. | Current | Accepting new patients |
Locations
615 W Johnson Ave
Ste 2021061
Cheshire, CT 06410
Phone (475) 377-0887
2550 Main St
Hartford, CT 06120
Phone (860) 548-0101
2550 Main St
Fl 3
Hartford, CT 06120
Phone (860) 548-0101
240 Indian River Rd
Ste C
Orange, CT 06477
Phone (203) 497-3867
49 Waterbury Rd
Ste B
Prospect, CT 06712
44 Abbott Ter
Waterbury, CT 06702
Phone (203) 755-4870
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
Organizations & group practices 5
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.
-
dba Hartford Behaviora Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hartford, CT
- NPI 1972592186
-
- Family Nurse Practitioner
- Cheshire, CT
- NPI 1083358378
-
- Counselor
- Danielson, CT
- NPI 1154884740
-
- Health Service Clinic/Center
- Prospect, CT
- NPI 1720737851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484006400000",
"number": "1821534215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241-3 JUDITH LANE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06704",
"telephone_number": "203-510-1187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 PHOENIX AVE STE 201",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067021418",
"telephone_number": "203-756-8021",
"fax_number": "888-965-5624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUGO MENDEZ",
"first_name": "AWILDA",
"middle_name": "ALTAGRACIA",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-10",
"last_updated": "2017-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "6886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.