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LAKESIDE PEDIATRICS, PLLC
NPI 1104880426
Pediatrics in Burlington, VT

Active since April 13, 2006CLIA 47D0670466 · Certificate of Compliance
128 LAKESIDE AVE, SUITE 115, BURLINGTON, VT 05401(802) 860-1928(802) 860-0192 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakeside Pediatrics, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE PEDIATRICS, PLLC (NPI 1104880426), doing business as Hagan, Rinehart & Connolly Pediatrics, is a healthcare organization registered as a pediatrics in Burlington, Vermont and active in the NPI registry since April 2006. The organization holds a CLIA Certificate of Compliance certificate valid through October 20, 2026 and lists Lynn Bergeron, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1104880426
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLAKESIDE PEDIATRICS, PLLC
Location Address128 LAKESIDE AVE, SUITE 115Burlington, VT 05401-4939
Mailing Address128 Lakeside Ave, Suite 115Burlington, VT 05401-4939 · (802) 860-1928 · Fax (802) 860-0192
Phone(802) 860-1928
Fax(802) 860-0192
Organization SubpartNo
Authorized OfficialLynn BergeronBusiness Office Manager · (802) 860-1928
Enumeration DateApril 13, 2006
Last NPPES UpdateAugust 27, 2019
✔ NPI 1104880426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in VT · 0420006081
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
128 LAKESIDE AVE, Burlington, VT 05401
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Other Names 1

Former Legal Business NameHagan, Rinehart & Connolly Pediatrics

Other Identifiers 3

Other33869VT · Mvp
Medicaid1007673VT
Other58026HAGAVT · Bcbs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 47D0670466

Lakeside Pediatrics · Burlington, VT
Active · expires Oct 20, 2026
CLIA Number47D0670466
Laboratory TypePhysician Office
Certificate Effective DateOctober 21, 2024
Certificate Expiration DateOctober 20, 2026
Laboratory DirectorGregory Connolly
Laboratory Phone(802) 860-1928
Laboratory LocationLakeside Pediatrics128 Lakeside Ave Suite 115, Burlington, VT 05401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAYLEIGH MARTINCIC FNP-C
Nurse Practitioner (Family)
128 LAKESIDE AVE
BURLINGTON, VT 05401
Chittenden County (802) 657-7000
DR. JOSEPH FRANCIS HAGAN JR. M.D.
Pediatrics
128 LAKESIDE AVE, SUITE 115
BURLINGTON, VT 05401
Chittenden County (802) 860-1928
HADY SAAD ATTIA
Registered Nurse
128 LAKESIDE AVE
BURLINGTON, VT 05401
Chittenden County (802) 657-7000
AMY DENIS FNP
Nurse Practitioner (Family)
128 LAKESIDE AVE
BURLINGTON, VT 05401
Chittenden County (802) 657-7000
ASHLEY BOYD A.P.R.N.
Nurse Practitioner (Pediatrics)
128 LAKESIDE AVE, SUITE 115
BURLINGTON, VT 05401
Chittenden County (802) 860-1928
PLANNED PARENTHOOD OF NORTHERN NEW ENGLAND
Non-Pharmacy Dispensing Site
128 LAKESIDE AVE, STE 301
BURLINGTON, VT 05401
Chittenden County (802) 448-9784
MRS. MARCIA M BRISTOW MS RD CD
Dietitian, Registered (Nutrition, Metabolic)
128 LAKESIDE AVE
BURLINGTON, VT 05401
Chittenden County (802) 777-9691
SALISSA WAHLERS LICSW
Social Worker (Clinical)
128 LAKESIDE AVE, STE 260
BURLINGTON, VT 05401
Chittenden County (802) 657-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeside Pediatrics, PLLC's NPI number?

The NPI number for Lakeside Pediatrics, PLLC is 1104880426. It was assigned to this organization in the NPPES registry on April 13, 2006. The provider was formerly known as Hagan, Rinehart & Connolly Pediatrics.

Where is Lakeside Pediatrics, PLLC located?

Lakeside Pediatrics, PLLC is located at 128 Lakeside Ave Suite 115, Burlington, VT 05401. The listed phone number is (802) 860-1928.

What is Lakeside Pediatrics, PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Lakeside Pediatrics, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 47D0670466) is associated with this NPI, valid through October 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lakeside Pediatrics, PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Lakeside Pediatrics, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lakeside Pediatrics, PLLC was last updated on August 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.