Active NPI
Lisa O'Connor
- Health Educator
- Brookfield, CT
National Provider Identifier
1245931567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 2 Huckleberry Hill Rd
Brookfield, CT 06804-2219 - Phone
- (203) 775-4444
- NPI assigned
- Mar 14, 2023
- Last updated
- Mar 14, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
2 Huckleberry Hill Rd
Brookfield, CT 06804-2219
Mailing address
2 Huckleberry Hill Rd
Brookfield, CT 06804-2219
Phone (203) 775-4444
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Granite YMCA | Health Educator | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1245931567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 HUCKLEBERRY HILL RD",
"city": "BROOKFIELD",
"state": "CT",
"postal_code": "068042219",
"telephone_number": "203-775-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 HUCKLEBERRY HILL RD",
"city": "BROOKFIELD",
"state": "CT",
"postal_code": "068042219",
"telephone_number": "203-775-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR",
"first_name": "LISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-14",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.