Individual provider Active NPI

Loraine Connelly

  • Attendant Care Provider
  • Livonia, MI
National Provider Identifier
1447801352
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Practice address
32148 Camborne LN
Livonia, MI 48154-3176
Phone
(734) 546-6968
Fax
(734) 421-9144
NPI assigned
Sep 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care ProviderGroup: 193400000X SINGLE SPECIALTY GROUP 3747A0650X Primary

Addresses

Primary practice location

32148 Camborne LN
Livonia, MI 48154-3176

Mailing address

32148 Camborne LN
Livonia, MI 48154-3176
Phone (734) 546-6968

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Lorainemc@ymail.com

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

NPI Registry JSON

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1447801352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32148 CAMBORNE LN",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543176",
            "telephone_number": "734-546-6968",
            "fax_number": "734-421-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32148 CAMBORNE LN",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543176",
            "telephone_number": "734-546-6968",
            "fax_number": "734-421-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELLY",
        "first_name": "LORAINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lorainemc@ymail.com",
            "affiliation": "N",
            "address_1": "32148 Camborne Ln",
            "city": "Livonia",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481543176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.