Active NPI
Carole Walsh Conn, RN CCM
- Case Manager/Care Coordinator
- Canonsburg, PA
National Provider Identifier
1134322191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- RN193926
- Practice address
- 115 Coachside Dr
Canonsburg, PA 15317-5035 - Phone
- (724) 746-9616
- Fax
- (724) 746-3052
- NPI assigned
- Jun 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | RN193926 | OH | Primary |
Addresses
Primary practice location
115 Coachside Dr
Canonsburg, PA 15317-5035
Mailing address
115 Coachside Dr
Canonsburg, PA 15317-5035
Phone (724) 746-9616
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN193926 | OH | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1134322191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 COACHSIDE DR",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153175035",
"telephone_number": "724-746-9616",
"fax_number": "724-746-3052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 COACHSIDE DR",
"city": "CANONSBURG",
"state": "PA",
"postal_code": "153175035",
"telephone_number": "724-746-9616",
"fax_number": "724-746-3052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONN",
"first_name": "CAROLE",
"middle_name": "WALSH",
"name_prefix": "Ms.",
"credential": "RN CCM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": "RN193926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canonsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.