Individual provider Active NPI

Elaine Mary Oconnor, LMT

  • Other Specialist/Technologist
  • Tempe, AZ
National Provider Identifier
1881829158
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
License
MT02732P Issued in AZ
Practice address
1232 E Baker Dr
Tempe, AZ 85282-7283
Phone
(480) 789-3475
Fax
(480) 491-3786
NPI assigned
May 15, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X MT02732P AZ Primary

Addresses

Primary practice location

1232 E Baker Dr
Tempe, AZ 85282-7283

Mailing address

1232 E Baker Dr
Tempe, AZ 85282-7283
Phone (480) 789-3475

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
MT02732PAZMDOther Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242345600000",
    "number": "1881829158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 E BAKER DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827283",
            "telephone_number": "480-789-3475",
            "fax_number": "480-491-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 E BAKER DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827283",
            "telephone_number": "480-789-3475",
            "fax_number": "480-491-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCONNOR",
        "first_name": "ELAINE",
        "middle_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-15",
        "last_updated": "2009-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "AZ",
            "license": "MT02732P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; 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.