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FLANDERS PEDIATRICS, LLC
NPI 1396938445
Nurse Practitioner in East Lyme, CT

Active since August 22, 2007CLIA 07D0095384 · Waiver
131 BOSTON POST RD, EAST LYME, CT 06333(860) 739-0348(860) 739-6779 Get Directions Write a Review

NPPES record last updated: August 22, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Flanders Pediatrics, Llc NPPES

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

FLANDERS PEDIATRICS, LLC (NPI 1396938445) is a healthcare organization registered as a nurse practitioner in East Lyme, Connecticut and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through April 14, 2028 and lists Maria T Eldredge, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1396938445
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameFLANDERS PEDIATRICS, LLC
Location Address131 BOSTON POST RDEast Lyme, CT 06333-1605
Mailing Address131 Boston Post Rd, P O Box 278East Lyme, CT 06333-1605 · (860) 739-0348 · Fax (860) 739-6779
Phone(860) 739-0348
Fax(860) 739-6779
Organization SubpartNo
Authorized OfficialMaria T EldredgeOffice Manager · (860) 739-0348
Enumeration DateAugust 22, 2007
✔ NPI 1396938445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CT · 001057
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
131 BOSTON POST RD, East Lyme, CT 06333
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Waiver 07D0095384

Flanders Pediatrics, LLC · East Lyme, CT
Active · expires Apr 14, 2028
CLIA Number07D0095384
Laboratory TypePhysician Office
Certificate Effective DateApril 15, 2026
Certificate Expiration DateApril 14, 2028
Laboratory DirectorMaria A. Lopez, MD
Laboratory Phone(860) 739-0348
Laboratory LocationFlanders Pediatrics, LLC305 Flanders Road PO Box 278, East Lyme, CT 06333
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

LEAH CAGNEY-VELLA BCBA
Behavior Analyst
131 BOSTON POST RD
EAST LYME, CT 06333
Southeastern Connecticut Planning Region (860) 333-5183
JOANNE Z. MOORE PT, DHS, OCS
Physical Therapist
131 BOSTON POST RD
EAST LYME, CT 06333
Southeastern Connecticut Planning Region (860) 739-4497
KATHRYN J HAALAND RPT
Physical Therapist
131 BOSTON POST RD
EAST LYME, CT 06333
Southeastern Connecticut Planning Region (860) 739-4497
MS. SARAH S MCNAMARA DPT
Physical Therapist
131 BOSTON POST RD
EAST LYME, CT 06333
Southeastern Connecticut Planning Region (860) 739-4497
KELLY GARDNER
Behavior Analyst
131 BOSTON POST RD
EAST LYME, CT 06333
Southeastern Connecticut Planning Region (860) 333-5183
MRS. MARY ELLEN ANDREWS BCBA
Behavior Analyst
131 BOSTON POST RD
EAST LYME, CT 06333
Southeastern Connecticut Planning Region (860) 333-5183
COASTLINE FOOT AND ANKLE SPECIALISTS LLC
Podiatrist
131 BOSTON POST RD
EAST LYME, CT 06333
Southeastern Connecticut Planning Region (860) 739-1944
MICHELLE A CRETELLA MD
Pediatrics (Adolescent Medicine)
131 BOSTON POST RD
EAST LYME, CT 06333
Southeastern Connecticut Planning Region (860) 739-0348

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 Flanders Pediatrics, LLC's NPI number?

The NPI number for Flanders Pediatrics, LLC is 1396938445. It was assigned to this organization in the NPPES registry on August 22, 2007.

Where is Flanders Pediatrics, LLC located?

Flanders Pediatrics, LLC is located at 131 Boston Post Rd, East Lyme, CT 06333. The listed phone number is (860) 739-0348.

What is Flanders Pediatrics, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Flanders Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D0095384) is associated with this NPI, valid through April 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Flanders Pediatrics, LLC was last updated on August 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.