Active NPI
Lori A Ustico, BOC ABC CERTIFIED
- Prosthetics Case Management
- Canaan, CT
National Provider Identifier
1467586412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- D16532 BOC
- Practice address
- 170 Railroad St
Canaan, CT 06018-2011 - Phone
- (860) 824-7510
- Fax
- (866) 686-1517
- NPI assigned
- Mar 14, 2007
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | D16532 BOC | CT | Primary |
Addresses
Primary practice location
170 Railroad St
Canaan, CT 06018-2011
Mailing address
170 Railroad St
Canaan, CT 06018-2011
Phone (860) 824-7510
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12DME0614CT01 | Other | CT | BLUE CROSS PROVIDER NUMBE |
| 2733042 | Other | CT | AETNA PROVIDER NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| D16532 BOC | CT | MD | Prosthetics Case Management |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lorraine Ustico | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Dignity with Style
- Durable Medical Equipment & Medical Supplies
- Canaan, CT
- NPI 1811166564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1467586412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 RAILROAD ST",
"city": "CANAAN",
"state": "CT",
"postal_code": "060182011",
"telephone_number": "860-824-7510",
"fax_number": "866-686-1517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 RAILROAD ST",
"city": "CANAAN",
"state": "CT",
"postal_code": "060182011",
"telephone_number": "860-824-7510",
"fax_number": "866-686-1517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "USTICO",
"first_name": "LORI",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "BOC ABC CERTIFIED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "CT",
"license": "D16532 BOC",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NUMBE",
"identifier": "12DME0614CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "2733042",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canaan, CT
- The Robert C Geer Memorial Hospital Inc (Geer Pharmacy)
- The Robert C. Geer Memorial Hospital Inc (Geer Adult Day Care Center)
- The Robert C. Geer Memorial Hospital Inc (Geer Nursing & Rehab Center)
- Michael C Trager, MD
- Cynthia Alice Unite, RPT
- Vitality Healthcare LLC (Mountainside)
- Walgreen Co (Walgreens #17219)
- Helen Ward, P.T.A.
- Lisa Beth Westerson, LCSW
- Gabrielle Kathleen Wynschenk
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.