Individual
LISA MARIE TANGUAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
000863
CT
363AS0400X
Surgical Physician Assistant
Primary
000863
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008010398
—
CT
01
—
061470493
COVENTRY/FIRST HEALTH
CT
01
—
080863
CONNECTICARE
CT
01
—
208796
WELLCARE
CT
01
—
22-59899
AMERICHOICE
CT
01
—
290000863CT11
ANTHEM BCBS CT
CT
01
—
2V1632
HEALTHNET/COMMERCIAL
CT
01
—
877800
USA
CT
01
—
9886225
AETNA
CT
01
—
P3134207
OXFORD
CT
Enumeration date
06/25/2006
Last updated
05/07/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up