Individual provider Active NPI

Lauren McConnell

  • Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1679284194
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R197797 Issued in MD
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

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
R1977797OtherMDAG-ACNP

Electronic endpoints 2

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
R197797MDMDNurse 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.

Verify at the official NPI Registry.