Jaclyn Losty

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

4704285720 Issued in MI

Practice address

15125 22 Mile Rd
Shelby TWP, MI 48315-4406

Phone

(586) 532-0599

NPI assigned

Jul 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jaclyn.nancekivell.1@7131.direct.athenahealth.com

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.

• Doctors for Kids, PLC

  • Clinical Psychologist
  • Rochester Hills, MI
  • NPI 1174385207
  NPD
• Doctors for Kids, PLC

  • Pediatrics Physician
  • Rochester Hills, MI
  • NPI 1801017165
  NPD
• Shelby Pediatric Associates and Child Lung Center PC

  • Pediatrics Physician
  • Shelby Township, MI
  • NPI 1124051990
  NPD (past)

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1669993168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922 BIRCHENA CRES",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483242104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15125 22 MILE RD",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483154406",
            "telephone_number": "586-532-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSTY",
        "first_name": "JACLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704285720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESCRIBER",
            "identifier": "1669993168",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlosty@doctorsforkids.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "940 W Avon Rd Ste 10",
            "city": "Rochester Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483072760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Linda Home Help LLC
• Neeko Little, CCM
• Enkeleida Lleshaj
• Jessica Long, NP
• Vanessa Lopatka, M.S., CCC-SLP
• Caleb Lourash, DC
• Loving Mothers
• Macomb Martial Arts
• Erin Kathleen Makl, PT, DPT
• Terry Denise Maley, COTA

• Pediatric Nurse Practitioner in Shelby TWP, MI
• Providers in Shelby TWP, MI by specialty
• Pediatric Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.