Individual provider Active NPI

Lori Ganim, RT(R)(MR)(ARRT)

  • Magnetic Resonance Imaging Radiologic Technologist
  • St Petersburg, FL
National Provider Identifier
1033566112
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
License
324317 Issued in IN
Practice address
10000 Bay Pines Blvd North
St Petersburg, FL 33708
Phone
(727) 398-6661
NPI assigned
May 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X R 2547649 OH
Magnetic Resonance Imaging Radiologic Technologist 2471M1202X 324317 IN Primary
Radiologic Technologist 247100000X CRT 83953 FL
Radiologic Technologist 247100000X XT 012010 IN

Addresses

Primary practice location

10000 Bay Pines Blvd North
St Petersburg, FL 33708

Mailing address

4812 Miramar Dr Unit 3202
Madeira Beach, FL 33708-3394
Phone (765) 461-4366

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
CRT 83953FLMDRadiologic Technologist
XT 012010INMDRadiologic Technologist
R 2547649OHMDRadiologic Technologist
324317INMDMagnetic Resonance Imaging Radiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1033566112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4812 MIRAMAR DR UNIT 3202",
            "city": "MADEIRA BEACH",
            "state": "FL",
            "postal_code": "337083394",
            "telephone_number": "765-461-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 BAY PINES BLVD NORTH",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33708",
            "telephone_number": "727-398-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANIM",
        "first_name": "LORI",
        "credential": "RT(R)(MR)(ARRT)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "OH",
            "license": "R 2547649",
            "primary": false
        },
        {
            "code": "2471M1202X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "IN",
            "license": "324317",
            "primary": true
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "FL",
            "license": "CRT 83953",
            "primary": false
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "IN",
            "license": "XT 012010",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.