Individual provider Active NPI

Lanette Danielle Looney, FNP

  • Family Nurse Practitioner
  • Marysville, OH
National Provider Identifier
1750619664
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.023049 Issued in OH
Practice address
969 W 5TH St
Marysville, OH 43040
Phone
(937) 644-3615
NPI assigned
Dec 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.023049 OH Primary
Registered Nurse 163W00000X RN.373719 OH
Licensed Practical Nurse 164W00000X PN-134887-IV OH

Addresses

Primary practice location

969 W 5TH St
Marysville, OH 43040

Mailing address

969 W 5TH St
Marysville, OH 43040-1070
Phone (614) 230-9255

Other practice location 1

16840 Harmon Patrick Rd
Richwood, OH 43344
Phone (614) 230-9255

Other practice location 2

CVS Minute CLinic #3481
969 W. 5th St.
Marysville, OH 43040
Phone (937) 644-3615

Other practice location 3

CVS Minute CLinic #3481
969 W. 5th St.
Marysville, OH 43040
Phone (937) 644-3615

Other identifiers 1

IdentifierTypeStateIssuer
APRN.CNP.023049OtherOHFAMILY NURSE PRACTITIONER

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.373719OHMDRegistered Nurse
PN-134887-IVOHMDLicensed Practical Nurse
APRN.CNP.023049OHMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: lanette.looney.1@15909.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1750619664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 W 5TH ST",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401070",
            "telephone_number": "614-230-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 W 5TH ST",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "43040",
            "telephone_number": "937-644-3615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16840 Harmon Patrick Rd",
            "address_purpose": "LOCATION",
            "city": "Richwood",
            "state": "OH",
            "postal_code": "43344",
            "country_code": "US",
            "telephone_number": "614-230-9255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "CVS Minute CLinic #3481",
            "address_2": "969 W. 5th St.",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "OH",
            "postal_code": "43040",
            "country_code": "US",
            "telephone_number": "937-644-3615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "CVS Minute CLinic #3481",
            "address_2": "969 W. 5th St.",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "OH",
            "postal_code": "43040",
            "country_code": "US",
            "telephone_number": "937-644-3615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOONEY",
        "first_name": "LANETTE",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-04",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.023049",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.373719",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN-134887-IV",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY NURSE PRACTITIONER",
            "identifier": "APRN.CNP.023049",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.