Individual provider Active NPI

Maurren Louise Loughrey, APRN

  • Pediatric Nurse Practitioner
  • New Haven, CT
National Provider Identifier
1295010775
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
003190 Issued in CT
Practice address
60 Temple St
7F
New Haven, CT 06510-2716
Phone
(203) 789-1338
Fax
(203) 789-1478
NPI assigned
Oct 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 003190 CT Primary

Addresses

Primary practice location

60 Temple St
7F
New Haven, CT 06510-2716

Mailing address

60 Temple St
7F
New Haven, CT 06510-2716
Phone (203) 789-1338

Other identifiers 3

IdentifierTypeStateIssuer
003190OtherCTSTATE LICENSE
0037102OtherCTCONTROLLED SUBSTANCE
E46355OtherCTRN LICENSE

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

State licenses

LicenseStateTypeSpecialty
003190CTMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Associates of Newhaven PC Past Accepting new patients
Nutmeg Pediatric Pulmonary Services Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1295010775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 TEMPLE ST",
            "address_2": "7F",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102716",
            "telephone_number": "203-789-1338",
            "fax_number": "203-789-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 TEMPLE ST",
            "address_2": "7F",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102716",
            "telephone_number": "203-789-1338",
            "fax_number": "203-789-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUGHREY",
        "first_name": "MAURREN",
        "middle_name": "LOUISE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "003190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "003190",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE",
            "identifier": "0037102",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "E46355",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.