Connie Lou Connolly, R.N.

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

815310 Issued in CA

Practice address

162 Grove St Ste J
Bishop, CA 93514-2652

Phone

(760) 873-6533

NPI assigned

Dec 29, 2007

Last updated

Jun 21, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Connie Lou Miller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1198886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1356526115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 GROVE ST STE J",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935142652",
            "telephone_number": "760-873-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 GROVE ST STE J",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935142652",
            "telephone_number": "760-873-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "CONNIE",
        "middle_name": "LOU",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-29",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "815310",
            "primary": true
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "CO",
            "license": "68232",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "MILLER",
            "middle_name": "LOU",
            "prefix": "MISS",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• City of Bishop (Bishop Fire Department)
• Dolphe Scott Clark, M.D.
• Janelle Clark
• John Clark, RN
• Savannah Faye Cole, LMFT
• Grace Cook, PH.D., M.F. T.
• Yolanda Cortez
• Carri Dawn Coudek
• County of Inyo (Inyo County Behavioral Heatlh)
• County of Inyo

• Case Management Registered Nurse in Bishop, CA
• Providers in Bishop, CA by specialty
• Case Management Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.