Individual provider Active NPI

Connie McDonald, CNP

  • Family Nurse Practitioner
  • Wheelersburg, OH
National Provider Identifier
1790225969
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.020430 Issued in OH
Practice address
1661 State Route 522
Unit 2
Wheelersburg, OH 45694-8120
Phone
(740) 574-8728
Fax
(740) 574-8918
NPI assigned
Mar 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.020430 OH Primary
Family Nurse Practitioner 363LF0000X ARNP 3011028 KY

Addresses

Primary practice location

1661 State Route 522
Unit 2
Wheelersburg, OH 45694-8120

Mailing address

1661 State Route 522
Unit 2
Wheelersburg, OH 45694-8120
Phone (740) 574-8728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP 3011028KYMDFamily Nurse Practitioner
APRN.CNP.020430OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Integrative Medicine LLC CurrentSince Mar 20, 2019 Accepting new patients

Locations

10730 Midland Trail Rd
Ashland, KY 41102
Phone (606) 393-6193

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1790225969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 STATE ROUTE 522",
            "address_2": "UNIT 2",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456948120",
            "telephone_number": "740-574-8728",
            "fax_number": "740-574-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 STATE ROUTE 522",
            "address_2": "UNIT 2",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456948120",
            "telephone_number": "740-574-8728",
            "fax_number": "740-574-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "CONNIE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-07",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.020430",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "ARNP 3011028",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheelersburg, OH

Sources for this page

Verify at the official NPI Registry.