Active NPI
Lanette Danielle Looney, FNP
- Family Nurse Practitioner
- Marysville, OH
National Provider Identifier
1750619664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.023049
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APRN.CNP.023049 | Other | OH | FAMILY 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN.373719 | OH | MD | Registered Nurse |
| PN-134887-IV | OH | MD | Licensed Practical Nurse |
| APRN.CNP.023049 | OH | MD | Family Nurse Practitioner |
Interoperability endpoints
- 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.