NPIMap

Individual provider Active NPI

Loren Bass, CRNP

  • Family Nurse Practitioner
  • Centre, AL
National Provider Identifier
1114224854
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0211066 Issued in AL
Practice address
395 Northwood Dr
Centre, AL 35960-1045
Phone
(256) 927-4900
Fax
(256) 927-9151
NPI assigned
Feb 15, 2011
Last updated
Jun 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-107686 AL
Family Nurse Practitioner 363LF0000X F0211066 AL Primary

Addresses

Primary practice location

395 Northwood Dr
Centre, AL 35960-1045

Mailing address

395 Northwood Dr
Centre, AL 35960-1045
Phone (256) 927-4900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lbass@fmc.gwaydirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121030000459 AL Practitioner - Nurse Practitioner 4082864939 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

395 Northwood Dr
Centre, AL 35960-1045
Phone (256) 927-4900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-107686ALMDRegistered Nurse
F0211066ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Floyd Cherokee Medical Center LLC Current Accepting new patients
Floyd Cherokee Medical Center LLC CurrentSince Jan 1, 2023 Accepting new patients
Floyd Healthcare Management Inc CurrentSince Jun 1, 2018 Accepting new patients
Floyd Healthcare Management Inc Family CurrentSince Jun 1, 2018 Accepting new patients
Centre RHC Corp Past Accepting new patients
Centre Hospital Corporation Past Accepting new patients
Centre Clinic Corp Past Accepting new patients

Locations

391 Northwood Dr
Centre, AL 35960
Phone (251) 927-7412

395 Northwood Dr
Centre, AL 35960
Phone (256) 547-6331

400 Northwood Dr
Centre, AL 35960
Phone (256) 927-1382

420 E 2nd Ave
Ste 103
Rome, GA 30161
Phone (706) 509-3278

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7105/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1114224854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 NORTHWOOD DR",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "359601045",
            "telephone_number": "256-927-4900",
            "fax_number": "256-927-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 NORTHWOOD DR",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "359601045",
            "telephone_number": "256-927-4900",
            "fax_number": "256-927-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "LOREN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-15",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-107686",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F0211066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lbass@fmc.gwaydirect.com",
            "affiliation": "N",
            "address_1": "395 Northwood Dr",
            "city": "Centre",
            "state": "AL",
            "country_code": "US",
            "postal_code": "359601045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Centre, AL

Sources for this page

Verify at the official NPI Registry.