Lauretta Anne Connelly, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD29602 Issued in TN

Practice address

109 W 6TH St
Cookeville, TN 38501-1721

Phone

(931) 528-6945

Fax

(931) 372-2234

NPI assigned

Nov 13, 2006

Last updated

Jun 11, 2013By 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 identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Lauretta a Connelly, MD PC

  • Obstetrics & Gynecology Physician
  • Cookeville, TN
  • NPI 1942579727
  Authorized official Same address or phone

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1417028242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W 6TH ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011721",
            "telephone_number": "931-528-6945",
            "fax_number": "931-372-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W 6TH ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385011721",
            "telephone_number": "931-528-6945",
            "fax_number": "931-372-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELLY",
        "first_name": "LAURETTA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD29602",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35068939",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3818824",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3079525",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5711580",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Comprehensive Toxicology PC
• Mercedes Compton
• Desiree Conatser
• Samantha Conaway
• Amy M Conlan
• Jessie Lee Conner, PA-C
• Continuum Healthcare Staffing LLC
• Caitlyn Adele Cook, RDH
• Gail Jean Cook, APRN
• Megan Cooke

• Obstetrics & Gynecology Physician in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Obstetrics & Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.