Active NPI
Lauren McConnell
- Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1679284194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R197797
- Practice address
- 2927 Odonnell St
Baltimore, MD 21224-4823 - Phone
- (443) 417-8016
- NPI assigned
- Dec 6, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R197797 | MD | Primary |
Addresses
Primary practice location
2927 Odonnell St
Baltimore, MD 21224-4823
Mailing address
2927 Odonnell St
Baltimore, MD 21224-4823
Phone (443) 417-8016
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R1977797 | Other | MD | AG-ACNP |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Janeapp | ||
| CONNECT URL | goodtoglowaesthetics.janeapp.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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R197797 | MD | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670284800000",
"number": "1679284194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2927 ODONNELL ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212244823",
"telephone_number": "443-417-8016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2927 ODONNELL ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212244823",
"telephone_number": "443-417-8016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCONNELL",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-06",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R197797",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AG-ACNP",
"identifier": "R1977797",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Janeapp",
"affiliation": "N",
"address_1": "2927 ODonnell St",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212244823",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "goodtoglowaesthetics.janeapp.com",
"affiliation": "N",
"address_1": "2927 ODonnell St",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212244823",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.