Individual provider Active NPI

Lorraine I Carleo, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
National Provider Identifier
1932155108
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN1015417 Issued in DC
Practice address
4115 Wisconsin Ave NW
Suite 107
Washington, DC 20016-2812
Phone
(202) 557-0934
NPI assigned
May 26, 2006
Last updated
Mar 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F400646 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN1015417 DC Primary

Addresses

Primary practice location

4115 Wisconsin Ave NW
Suite 107
Washington, DC 20016-2812

Mailing address

3805 Porter St NW
Apt 201
Washington, DC 20016-2951
Phone (315) 717-8012

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F400646NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Hartford Psychiatric Services PLLC PastSince Sep 21, 2016 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1932155108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 PORTER ST NW",
            "address_2": "APT 201",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162951",
            "telephone_number": "315-717-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 WISCONSIN AVE NW",
            "address_2": "SUITE 107",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200162812",
            "telephone_number": "202-557-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLEO",
        "first_name": "LORRAINE",
        "middle_name": "I",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400646",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "RN1015417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.