Lori Kathleen Brubaker, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

174780 Issued in TX

Practice address

1404 Cheyenne TRL
Granbury, TX 76048-6145

Phone

(310) 717-1625

NPI assigned

Apr 24, 2020

Last updated

Apr 24, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1043830524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 CHEYENNE TRL",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760486145",
            "telephone_number": "310-717-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 CHEYENNE TRL",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760486145",
            "telephone_number": "310-717-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUBAKER",
        "first_name": "LORI",
        "middle_name": "KATHLEEN",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "174780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Brown, FNP-BC
• Angela Jo Brown
• Brenda D. Brown, M.A., LPC
• Donald Jeffrey Brown, DO
• Jill Elaine Brown, LPC-ASSOCIATE, LCDC
• Chelsea Alayna Bryant, LPC
• David N Bryant, LCDC
• Christopher T Buchanan, M.D.
• Martha Dianne Burke, LMFT,LPC,LCDC
• Laura Anne Bushong, CCC-SLP

• Licensed Vocational Nurse in Granbury, TX
• Providers in Granbury, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.