Individual provider Active NPI

Lauren E Drysdale, APRN

  • Nurse Practitioner
  • Stamford, CT
National Provider Identifier
1881724110
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
003371 Issued in CT
Practice address
166 W Broad St
Suite 104
Stamford, CT 06902-3661
Phone
(203) 276-4404
Fax
(203) 276-4405
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 003371 CT Primary
Adult Health Nurse Practitioner 363LA2200X F304189 NY

Addresses

Primary practice location

166 W Broad St
Suite 104
Stamford, CT 06902-3661

Mailing address

166 W Broad St
Suite 104
Stamford, CT 06902-3661
Phone (203) 276-4404

Other identifiers 2

IdentifierTypeStateIssuer
38840OtherCTDEP OF CONSUMER PROTECTIO
3371OtherCTCT APRN LICENSURE

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
I20140311000020 CT Practitioner - Nurse Practitioner 9032379730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Columbia University College of Physicians and Surgeons, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stamford Health Medical Group IncGroup PAC ID 6901099746, 442 clinicians

Practice addresses (Care Compare)

1 Hospital PLZ
Stamford, CT 06902-3602
Phone (203) 276-1000

29 Hospital PLZ
Stamford, CT 06902-3602

4 Hospital PLZ
Suite 102
Stamford, CT 06902-3602
Phone (203) 276-2330

5 High Ridge Park
Suite 103
Stamford, CT 06905-1326
Phone (203) 276-4644

Hospital & facility affiliations

  • Stamford Hospital Hospital, Stamford, CT, CCN 070006

Merit-based Incentive Payment System (MIPS)

Final score
86.6 of 100Reported as group
Quality
84.86
Promoting interoperability
99
Improvement activities
40
Cost
71.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003371CTMDClinical Psychologist
F304189NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stamford Health Medical Group Inc CurrentSince Feb 17, 2014 Accepting new patients

Locations

29 Hospital Plz
Ste 504
Stamford, CT 06902
Phone (203) 276-4400

5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644

29 Hospital Plz
Ste 601
Stamford, CT 06902
Phone (203) 276-2451

166 W Broad St
Ste 104
Stamford, CT 06902
Phone (203) 276-4404

Interoperability endpoints

  • Direct secure messaging: ldrysdale19814@stamfordhealth.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1881724110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 W BROAD ST",
            "address_2": "SUITE 104",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023661",
            "telephone_number": "203-276-4404",
            "fax_number": "203-276-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 W BROAD ST",
            "address_2": "SUITE 104",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023661",
            "telephone_number": "203-276-4404",
            "fax_number": "203-276-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRYSDALE",
        "first_name": "LAUREN",
        "middle_name": "E",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "003371",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F304189",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEP OF CONSUMER PROTECTIO",
            "identifier": "38840",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT APRN LICENSURE",
            "identifier": "3371",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.