Individual provider Active NPI

Lorene L Harrell

  • Prosthetics Case Management
  • Rio Rancho, NM
National Provider Identifier
1023067659
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
0600006920 Issued in NM
Practice address
2704 Southern Blvd SE Ste 2
Rio Rancho, NM 87124-3748
Phone
(505) 268-1830
Fax
(505) 994-1472
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X 0600006920 NM Primary

Addresses

Primary practice location

2704 Southern Blvd SE Ste 2
Rio Rancho, NM 87124-3748

Mailing address

2889 Pine Forest Dr SE
Rio Rancho, NM 87124-7281
Phone (505) 994-0409

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
0600006920NMMDProsthetics Case Management

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023067659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2889 PINE FOREST DR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871247281",
            "telephone_number": "505-994-0409",
            "fax_number": "505-994-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 SOUTHERN BLVD SE STE 2",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871243748",
            "telephone_number": "505-268-1830",
            "fax_number": "505-994-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "LORENE",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "NM",
            "license": "0600006920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.