Individual provider Active NPI

Jeffrey W Lourie, FNP-C, PMHNP-BC

  • Family Nurse Practitioner
  • Montpelier, VT
National Provider Identifier
1013211481
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
101.0095764 Issued in VT
Practice address
250 Main St Ste 201
Montpelier, VT 05602-4257
Phone
(802) 828-1234
Fax
(802) 828-1221
NPI assigned
Dec 29, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 101.0095764 VT
Family Nurse Practitioner 363LF0000X AP101078 ME
Registered Nurse 163W00000X R055703 ME
Registered Nurse 163W00000X 026.0097231 VT
Family Nurse Practitioner 363LF0000X 101.0095764 VT Primary

Addresses

Primary practice location

250 Main St Ste 201
Montpelier, VT 05602-4257

Mailing address

250 Main St Ste 201
Montpelier, VT 05602-4257
Phone (802) 828-1234

Other identifiers 3

IdentifierTypeStateIssuer
AP101078OtherMEANP
R055703OtherMERN
101.0095764OtherVTVERMONT BOARD OF NURSING

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

LicenseStateTypeSpecialty
R055703MEMDRegistered Nurse
026.0097231VTMDRegistered Nurse
101.0095764VTMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1013211481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MAIN ST STE 201",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056024257",
            "telephone_number": "802-828-1234",
            "fax_number": "802-828-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MAIN ST STE 201",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056024257",
            "telephone_number": "802-828-1234",
            "fax_number": "802-828-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOURIE",
        "first_name": "JEFFREY",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-29",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VT",
            "license": "101.0095764",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "AP101078",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "R055703",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VT",
            "license": "026.0097231",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101.0095764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANP",
            "identifier": "AP101078",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "R055703",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VERMONT BOARD OF NURSING",
            "identifier": "101.0095764",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.