Individual provider Active NPI

Lisa Haut

  • Family Nurse Practitioner
  • Torrington, CT
National Provider Identifier
1962400150
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
001512 Issued in CT
Practice address
227 Main St
Torrington, CT 06790-5202
Phone
(860) 618-5455
Fax
(860) 618-2530
NPI assigned
Jul 12, 2005
Last updated
Jan 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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 001512 CT
Family Nurse Practitioner 363LF0000X 001512 CT Primary

Addresses

Primary practice location

227 Main St
Torrington, CT 06790-5202

Mailing address

227 Main St
Torrington, CT 06790-5202
Phone (860) 618-5455

Other identifiers 3

IdentifierTypeStateIssuer
90350OtherCTGHI
0015123630OtherCTCONNECTICARE
787904OtherCTMVP

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
I20040702001207 CT Practitioner - Nurse Practitioner 5496732737 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Afc Physicians of Connecticut PCGroup PAC ID 5193966893, 39 clinicians

Practice addresses (Care Compare)

168 S Main St
Suite 2
Torrington, CT 06790-6448
Phone (860) 970-0078

2 Main St
Danbury, CT 06810-8047
Phone (203) 826-2140

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001512CTMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Connecticut, PC CurrentSince Nov 25, 2024 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Nov 25, 2024 Accepting new patients
Sunrise Psychological Services LLC CurrentSince Dec 5, 2018 Accepting new patients
Consolidated Health and Wellness LLC CurrentSince Feb 28, 2024 Accepting new patients
Ipc Hospitalists of New England PC Nurse Practitioner CurrentSince Nov 13, 2014 Accepting new patients
Ipc Hospitalists of New England, P.C. Nurse Practitioner CurrentSince Nov 13, 2014 Accepting new patients
Emergency Physicians of Connecticut PC Nurse Practitioner CurrentSince Jan 1, 2016 Accepting new patients
Housatonic Medical Services, LLC Past Accepting new patients
New England Urgent Care Enfield LLC Nurse Practitioner Past Accepting new patients
Sharon Emergency Medicine PC Nurse Practitioner Past Accepting new patients
Nuvance Health Medical Practice CT, Inc. Nurse Practitioner Past Accepting new patients
Full Circle LLC PastSince Jan 4, 2026 Accepting new patients
New England Urgent Care Enfield LLC Nurse Practitioner Past Accepting new patients
Alan Braverman, MD, PC PastSince Jul 18, 2016 Accepting new patients
Antero Urgent Care LLC PastSince Aug 23, 2020 Accepting new patients
Franklin Medical Group, PC Past Accepting new patients
Associates in Family Practice Past Accepting new patients

Locations

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

2 Main St
Danbury, CT 06810
Phone (203) 826-2140

55 Grand St
New Britain, CT 06052
Phone (845) 459-5767

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

607 Main Ave
Ste 13
Norwalk, CT 06851
Phone (203) 845-9100

50 Hospital Hill Rd
Sharon, CT 06069
Phone (860) 364-4000

168 S Main St
Ste 2
Torrington, CT 06790
Phone (860) 626-3394

80 Fern Dr
Torrington, CT 06790
Phone (860) 294-3607

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1962400150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 MAIN ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067905202",
            "telephone_number": "860-618-5455",
            "fax_number": "860-618-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 MAIN ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067905202",
            "telephone_number": "860-618-5455",
            "fax_number": "860-618-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUT",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "001512",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "001512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "90350",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "0015123630",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "787904",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

Verify at the official NPI Registry.