Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Marie Tanguay, PA

Individual provider Physician Assistant · NPI 1659307916

Lisa Marie Tanguay, PA is a Physician Assistant in Waterbury, Connecticut. Qualified in 1999, 27 years ago. Practices with Trinity Health of New England Provider Network Organization Inc, a 635-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
27
Licensed in
CT
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

56 Franklin St
Waterbury, CT 06706-1221
Phone: (203) 709-6314
Fax: (203) 709-6089
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 133 Scovill St, Waterbury, CT 06706-1127 — (203) 709-6680

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 000863 (CT)
Physician Assistant Taxonomy 363A00000X · Licence 000863 (CT)

Record details

NPI number1659307916
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 25, 2006
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Trinity Health Of New England Provider Network Organization Inc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Waterbury