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

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 (644 clinicians)

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 Hospital · Hartford, CT · CCN 070002

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 IDStateProvider typePAC IDDetails
I20120420000019 CT Practitioner - Nurse Practitioner 5597926469 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Interoperability endpoints

  • Direct secure messaging: lbeveridge2381954@direct.trinity-health.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

All providers in New Britain, CT · Adult Health Nurse Practitioner in Connecticut

Sources for this page

Verify at the official NPI Registry.