Individual provider Active NPI

Loureen D Daly, NA

  • Contractor
  • Atlanta, GA
National Provider Identifier
1902588452
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Practice address
164 Vine Street Atlanta
Atlanta
Atlanta, GA 30314
Phone
(678) 896-8664
NPI assigned
Aug 3, 2023
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X GA Primary

Addresses

Primary practice location

164 Vine Street Atlanta
Atlanta
Atlanta, GA 30314

Mailing address

164 Vine Street Atlanta
Atlanta
Atlanta, GA 30314
Phone (678) 896-8664

Other names 1

  • Loureen D Daly Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1902588452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 VINE STREET ATLANTA",
            "address_2": "ATLANTA",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30314",
            "telephone_number": "678-896-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 VINE STREET ATLANTA",
            "address_2": "ATLANTA",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30314",
            "telephone_number": "678-896-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY",
        "first_name": "LOUREEN",
        "middle_name": "D",
        "credential": "NA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOUREEN",
            "last_name": "DALY",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.