Individual provider Active NPI

Victoria Theresa Loughlin, MS

  • Specialist
  • Kingston, NY
National Provider Identifier
1619230232
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1852529 Issued in NY
Practice address
70 Kukuk Lane
Center for Spectrum Services
Kingston, NY 12443
Phone
(845) 336-2616
NPI assigned
Jun 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1852529 NY Primary

Addresses

Primary practice location

70 Kukuk Lane
Center for Spectrum Services
Kingston, NY 12443

Mailing address

70 Kukuk Lane
Center for Spectrum Services
Kingston, NY 12443
Phone (845) 336-2616

Other identifiers 1

IdentifierTypeStateIssuer
1852529OtherNYSTATE EDUCATION DEPARTMENT - NEW YORK

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1852529NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Spectrum Services 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1619230232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 KUKUK LANE",
            "address_2": "CENTER FOR SPECTRUM SERVICES",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "12443",
            "telephone_number": "845-336-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 KUKUK LANE",
            "address_2": "CENTER FOR SPECTRUM SERVICES",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "12443",
            "telephone_number": "845-336-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUGHLIN",
        "first_name": "VICTORIA",
        "middle_name": "THERESA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1852529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE EDUCATION DEPARTMENT - NEW YORK",
            "identifier": "1852529",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.