Individual provider Active NPI

Allison M Lacross, CNM

  • Advanced Practice Midwife
  • New Haven, CT
National Provider Identifier
1972935146
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
489 Issued in CT
Practice address
46 Prince St Ste 408
New Haven, CT 06519-1600
Phone
(203) 624-9072
NPI assigned
Jul 30, 2013
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 489 CT Primary
Advanced Practice Midwife 367A00000X 001518 NY

Addresses

Primary practice location

46 Prince St Ste 408
New Haven, CT 06519-1600

Mailing address

46 Prince St Ste 408
New Haven, CT 06519-1600
Phone (203) 624-9072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171128002344 NY Practitioner - Certified Nurse Midwife (CNM) 1456632215 Reassigns benefits to 1 organization
I20241211001763 CT Practitioner - Certified Nurse Midwife (CNM) 1456632215 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
489CTMDNaturopath
001518NYMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Nov 21, 2024 Accepting new patients
Yale University Current Accepting new patients
NYU Langone Hospitals CurrentSince Dec 20, 2017 Accepting new patients
Yale University CurrentSince Nov 21, 2024 Accepting new patients
NYU Langone Hospitals Current Accepting new patients
NYU Langone Hospitals CurrentSince Dec 20, 2017 Accepting new patients

Locations

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

20 York St
North Haven, CT 06510
Phone (203) 688-2433

301 E 17th St
New York, NY 10003
Phone (212) 460-0125

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • Direct secure messaging: alacross840874@nychhc.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1972935146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 PRINCE ST STE 408",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191600",
            "telephone_number": "203-624-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 PRINCE ST STE 408",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191600",
            "telephone_number": "203-624-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACROSS",
        "first_name": "ALLISON",
        "middle_name": "M",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CT",
            "license": "489",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "001518",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.