Active NPI
Lori M Harter, NP
- Nurse Practitioner
- Saint Charles, MO
National Provider Identifier
1104015973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 138554
- Practice address
- 1551 Wall St
Suite 400
Saint Charles, MO 63303-3539 - Phone
- (636) 669-2350
- Fax
- (636) 669-2221
- NPI assigned
- Oct 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 138554 | MO | Primary |
Addresses
Primary practice location
1551 Wall St
Suite 400
Saint Charles, MO 63303-3539
Mailing address
1551 Wall St
Suite 310
Saint Charles, MO 63303-3539
Phone (636) 669-2268
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138554 | Other | MO | MO RN LICENSE |
Other names 1
- Lori M Baynes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080105000046 | MO | Practitioner - Nurse Practitioner | 9537249388 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 138554 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Medical Group, Inc. | Current | Accepting new patients |
Locations
711 Veterans Memorial Pkwy
Ste 300
Saint Charles, MO 63303
Phone (636) 669-2215
1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401753600000",
"number": "1104015973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1551 WALL ST",
"address_2": "SUITE 310",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633033539",
"telephone_number": "636-669-2268",
"fax_number": "636-669-2401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 WALL ST",
"address_2": "SUITE 400",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633033539",
"telephone_number": "636-669-2350",
"fax_number": "636-669-2221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTER",
"first_name": "LORI",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-17",
"last_updated": "2014-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "138554",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MO RN LICENSE",
"identifier": "138554",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LORI",
"last_name": "BAYNES",
"middle_name": "M",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.