Connie Jo McClain, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA.17867-NP Issued in OH

Practice address

4405 N Holland Sylvania Rd
Toledo, OH 43623-3529

Phone

(419) 870-1727

NPI assigned

Aug 5, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: connie.mcclain.1@25664.direct.athenahealth.com
• Direct secure messaging: connie.mcclain.1@22307.direct.athenahealth.com

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.

• Greater Toledo Urgent Cares, LLC.

  • Emergency Medicine Physician
  • Toledo, OH
  • NPI 1982993010
  Medicare reassignment NPD
• Northwest Ohio Gastroenterology Associates Inc.

  • Gastroenterology Physician
  • Toledo, OH
  • NPI 1306945084
  Medicare reassignment
• Greater Toledo Urgent Cares, LLC.

  • Urgent Care Clinic/Center
  • Temperance, MI
  • NPI 1831787738
  NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Androscoggin Valley Hospital Inc

  • General Practice Physician
  • Berlin, NH
  • NPI 1679526644
  NPD (past)
• Granite State Gastrointestinal Consultants PLLC

  • Gastroenterology Physician
  • Londonderry, NH
  • NPI 1942214457
  NPD (past)

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1366828048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 285TH ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436111953",
            "telephone_number": "419-870-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 N HOLLAND SYLVANIA RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233529",
            "telephone_number": "419-870-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "CONNIE",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.17867-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany McCarver
• Marissa Jean McCauley, MSW LSW
• Shawn Marie McCauley, PTA
• Susan Jean McChesney, PAC
• Lily McClafferty, PA-S
• Emily Grace McClain, M.D.
• Jennifer Kristin McClain
• Jodi McClain, CNP
• Melvin L McClain Jr.
• Zachary Anthony McCleary, MD

• Family Nurse Practitioner in Toledo, OH
• Providers in Toledo, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.