Dlorm LLC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

672526 Issued in TX

Legal business name

DLORM LLC

Practice address

4032 Outpost Trce
Lago Vista, TX 78645-6456

Phone

(512) 364-8494

NPI assigned

Jul 17, 2012

Organization subpart

No

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

Authorized official

Name

Roberto B D'Lorm, GNP-BC

Title

Nurse Practitioner-Gerontology

Phone

(512) 364-8494

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1043565930",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DLORM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "D'LORM",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "NURSE PRACTITIONER-GERONTOLOGY",
        "authorized_official_telephone_number": "512-364-8494",
        "authorized_official_credential": "GNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "672526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE NUMBER",
            "identifier": "672526",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberto B. D'Lorm, GNP-BC
• Gail A. Dankis, PT
• Colter Waylon Dees, RPH
• Tamara Millicent Defee, M.A., LPC-S, N.C.C.
• David Wayne Dewitt, PA-C
• Michael Sean Everett, DC
• Karin S Fagner, NP
• Michael David Farjellah, PHD
• Foreherb
• Aaron Michael Fullmer, LMFT

• 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 Jul 17, 2012; 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.