Lorrie M Pierson

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

232248 Issued in AZ

Practice address

680 Haul Rd
Suite B
Page, AZ 86040-8604

Phone

(928) 640-0245

Fax

(928) 484-2000

NPI assigned

Jun 7, 2019

Last updated

Jun 7, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Painted Hills Homecare

  • In Home Supportive Care Agency
  • Page, AZ
  • NPI 1427720218
  NPD (past)

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1093374704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635",
            "city": "PAGE",
            "state": "AZ",
            "postal_code": "860400635",
            "telephone_number": "928-640-0245",
            "fax_number": "928-484-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 HAUL RD",
            "address_2": "SUITE B",
            "city": "PAGE",
            "state": "AZ",
            "postal_code": "860408604",
            "telephone_number": "928-640-0245",
            "fax_number": "928-484-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERSON",
        "first_name": "LORRIE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AZ",
            "license": "232248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232248",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Marie Paul, M.D.
• Brenda Christine Pecotte de Gonzalez, DO
• Allison Rae Peters, PA-C
• Jordan Peterson
• Bernadette Marie Pierson, OT
• Prescott Vamc
• Sandra Pulham
• Heather Rapoza
• Red Rock Healthcare, Inc. (Lake Powell Physical Therapy)
• Kae Rehma

• In Home Supportive Care Agency in Page, AZ
• Providers in Page, AZ by specialty
• In Home Supportive Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.