Clorissa McConnell

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

5850 US Route 60
Summit Plaza Box 11
Ashland, KY 41102-9516

Phone

(606) 929-9155

Fax

(606) 929-9833

NPI assigned

May 27, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1609255314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 US ROUTE 60",
            "address_2": "SUMMIT PLAZA BOX 11",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411029516",
            "telephone_number": "606-929-9155",
            "fax_number": "606-929-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 US ROUTE 60",
            "address_2": "SUMMIT PLAZA BOX 11",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411029516",
            "telephone_number": "606-929-9155",
            "fax_number": "606-929-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "CLORISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley McClain, APRN
• Ramona McClain
• Kimberly Kay McClanahan, PHD
• Tara Beth McCloud, PHARM D
• Billy Joe McComas Jr., RPH
• Charles David McCormick, APRN
• Sadonna Mikayla McCoy, LCSW
• Chad Andrew McCreary, D.O.
• Isaac Nathaniel McCullough, DMPNA
• Marci McDaniels, LPCC

• Developmental Therapist in Ashland, KY
• Providers in Ashland, KY by specialty
• Developmental Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.