Laura Elizabeth Beveridge, APRN
Individual provider Active NPI Adult Health Nurse Practitioner · New Britain, CT
NPI 1861765281 · NPPES record last updated Oct 12, 2012
Key facts
- NPI
- 1861765281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 004869 (CT)
- Practice address
- 300 Kensington Ave
New Britain, CT 06051-3916 - Phone
- (860) 801-6759
- Fax
- (860) 348-4873
- NPI assigned
- Feb 15, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trinity Health of New England Provider Network Organization Inc
Practice addresses (Care Compare)
1000 Asylum Ave
Suite 4301
Hartford, CT 06105-1704
Phone (860) 714-7588
Hospital & facility affiliations
- St Francis Hospital & Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120420000019 | CT | Practitioner - Nurse Practitioner | 5597926469 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Interoperability endpoints
- lbeveridge2381954@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 004869 | CT | Yes |
| Family Nurse Practitioner | 363LF0000X | 004869 | CT |
Addresses
Primary practice location
300 Kensington Ave
New Britain, CT 06051-3916
Mailing address
300 Kensington Ave
New Britain, CT 06051-3916
Other providers in New Britain, CT
- David Ben Bernard
- Ashley Bessette
- Susan Yanet Betalleluz
- Helen Betgivargis
- Ellen Holbrook Beth
- Mohamad Beydoun
- Mary Jane Bezares
- Sudhir K Bhatnagar
- Nirmala Bhatt
- Bhushan C Gupta MD LLC
All providers in New Britain, CT · Adult Health Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.