Individual provider Active NPI

Laura F. Reddington, PA-C

  • Surgical Physician Assistant
  • Middletown, CT
National Provider Identifier
1932487238
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
2608 Issued in CT
Practice address
540 Saybrook Rd
Middletown, CT 06457-4711
Phone
(860) 358-2850
Fax
(860) 358-8698
NPI assigned
Aug 3, 2011
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 2608 CT Primary

Addresses

Primary practice location

540 Saybrook Rd
Middletown, CT 06457-4711

Mailing address

28 Crescent St
Middletown, CT 06457-3654
Phone (860) 358-6000

Other names 1

  • Laura M. Finnucan Former name

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
I20120719000588 CT Practitioner - Physician Assistant 1254597206 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
State University of New York at Stony Brook, School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MHS Primary Care, Inc.Group PAC ID 4082507371, 180 clinicians

Practice addresses (Care Compare)

14 Jones Hollow Rd
Suite 2
Marlborough, CT 06447-1448
Phone (860) 358-2850

250 Flat Rock PL
Westbrook, CT 06498-3585
Phone (860) 358-3640

540 Saybrook Rd
Middletown, CT 06457-4711
Phone (860) 358-5120

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2608CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group, Inc CurrentSince May 1, 2013 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Jun 1, 2020 Accepting new patients
Midstate Medical Center CurrentSince Jun 1, 2016 Accepting new patients
MHS Primary Care, Inc CurrentSince Jun 17, 2024 Accepting new patients
Midstate Medical Center CurrentSince Jun 1, 2016 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Jan 1, 2012 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Past Accepting new patients

Locations

130 Division St
Derby, CT 06418
Phone (203) 732-1330

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

14 Jones Hollow Rd
Ste 2
Marlborough, CT 06447

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

540 Saybrook Rd
Middletown, CT 06457
Phone (860) 347-7491

540 Saybrook Rd
Ste 100B
Middletown, CT 06457
Phone (860) 347-6683

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

Interoperability endpoints

  • Direct secure messaging: lreddington18697@middlesexhealthprd.direct-ci.com

Organizations & group practices 11

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.

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": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1932487238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573654",
            "telephone_number": "860-358-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 SAYBROOK RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574711",
            "telephone_number": "860-358-2850",
            "fax_number": "860-358-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDINGTON",
        "first_name": "LAURA",
        "middle_name": "F.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "2608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "FINNUCAN",
            "middle_name": "M.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.