Roberto B. D'Lorm, GNP-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

672526 Issued in TX

Practice address

4032 Outpost Trce
Lago Vista, TX 78645-6456

Phone

(512) 364-8494

Fax

(512) 267-1362

NPI assigned

Feb 26, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fundamentals of Recovery LLC

  • Community/Behavioral Health Agency
  • Austin, TX
  • NPI 1285252551
  NPD (past)
• Geriatric Associates of America-Texas, PLLC

  • Internal Medicine Physician
  • Webster, TX
  • NPI 1669682886

  Gerontology

  NPD (past)
• Geriatric Associates of America, P.a.

  • Geriatric Medicine (Family Medicine) Physician
  • Houston, TX
  • NPI 1093768673

  Gerontology

  NPD (past)
• Milton W Shepperd, DO, PA

  • Geriatric Medicine (Internal Medicine) Physician
  • Meadowlakes, TX
  • NPI 1992035166
  NPD (past)

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1023287794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 OUTPOST TRCE",
            "city": "LAGO VISTA",
            "state": "TX",
            "postal_code": "786456456",
            "telephone_number": "512-364-8494",
            "fax_number": "512-267-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4032 OUTPOST TRCE",
            "city": "LAGO VISTA",
            "state": "TX",
            "postal_code": "786456456",
            "telephone_number": "512-364-8494",
            "fax_number": "512-267-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'LORM",
        "first_name": "ROBERTO",
        "middle_name": "B.",
        "credential": "GNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-26",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "672526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GNP LICENSE",
            "identifier": "672526",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emmalee Cook, LMT
• Haley M Covington, RN
• Andrea Ellen Cramer, M.D.
• Page Tenile Crouch, FNP
• CVS Pharmacy Inc
• Gail A. Dankis, PT
• Colter Waylon Dees, RPH
• Tamara Millicent Defee, M.A., LPC-S, N.C.C.
• David Wayne Dewitt, PA-C
• Dlorm LLC

• Gerontology Nurse Practitioner in Lago Vista, TX
• Providers in Lago Vista, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.