Individual provider Active NPI

Laura Guardiano, APRN

  • Family Nurse Practitioner
  • Middlebury, CT
National Provider Identifier
1982429833
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14163 Issued in CT
Practice address
1579 Straits Tpke Lowr Level
Middlebury, CT 06762-1835
Phone
(203) 598-7246
Fax
(203) 598-0200
NPI assigned
Nov 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14163 CT Primary

Addresses

Primary practice location

1579 Straits Tpke Lowr Level
Middlebury, CT 06762-1835

Mailing address

1579 Straits Tpke Lowr Level
Middlebury, CT 06762-1835
Phone (203) 598-7246

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
I20250521002681 CT Practitioner - Nurse Practitioner 7810416088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Interventional Spine and Sports Medicine, PCGroup PAC ID 3577689611, 7 clinicians

Practice addresses (Care Compare)

1579 Straits Tpke
Lowr Level
Middlebury, CT 06762-1835
Phone (203) 598-7246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14163CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Interventional Spine & Sports Medicine, PC Family CurrentSince May 19, 2025 Accepting new patients

Locations

1579 Straits Tpke
Lowr
Middlebury, CT 06762
Phone (203) 598-7246

166 Waterbury Rd
Ste 204
Prospect, CT 06712
Phone (203) 598-7246

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_ISSM

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.

NPI Registry JSON

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

{
    "created_epoch": "1731715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1982429833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 STRAITS TPKE LOWR LEVEL",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067621835",
            "telephone_number": "203-598-7246",
            "fax_number": "203-598-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 STRAITS TPKE LOWR LEVEL",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067621835",
            "telephone_number": "203-598-7246",
            "fax_number": "203-598-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARDIANO",
        "first_name": "LAURA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-16",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "14163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, CT

Sources for this page

Verify at the official NPI Registry.