Individual provider Active NPI

Susan Marie Loughley

  • Home Health Aide
  • Aurora, OH
National Provider Identifier
1053915983
Registry record updated Nov 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
10576 California St
Aurora, OH 44202-9407
Phone
(330) 388-5525
NPI assigned
Nov 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

10576 California St
Aurora, OH 44202-9407

Mailing address

10576 California St
Aurora, OH 44202-9407
Phone (330) 388-5525

Other identifiers 1

IdentifierTypeStateIssuer
7718942MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sloughley@roadrunner.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1606003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606003200000",
    "number": "1053915983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10576 CALIFORNIA ST",
            "city": "AURORA",
            "state": "OH",
            "postal_code": "442029407",
            "telephone_number": "330-388-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10576 CALIFORNIA ST",
            "city": "AURORA",
            "state": "OH",
            "postal_code": "442029407",
            "telephone_number": "330-388-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUGHLEY",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-22",
        "last_updated": "2020-11-22",
        "certification_date": "2020-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7718942",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sloughley@roadrunner.com",
            "affiliation": "N",
            "address_1": "10576 California St",
            "city": "Aurora",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442029407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aurora, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.