Lori R Marrero, APRN
Individual provider Active NPI Family Nurse Practitioner · Providence, KY
NPI 1124425418 · NPPES record last updated Mar 5, 2018
Key facts
- NPI
- 1124425418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3009087 (KY)
- Practice address
- 215 E Main St
Providence, KY 42450-1261 - Phone
- (270) 667-7017
- Fax
- (270) 667-9065
- NPI assigned
- Dec 2, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regional Health Care Affiliates, Inc
Practice addresses (Care Compare)
2816 Veach Rd
Owensboro, KY 42303-6295
Phone (270) 926-9821
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150127002132 | KY | Practitioner - Nurse Practitioner | 5597089391 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3009087 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Health Care Affiliates Inc | Current |
Accepting new patients | |
| Physician Management Services PSC | Current |
Accepting new patients | |
| Physician Management Services PSC | Current |
Accepting new patients | |
| Regional Health Care Affiliates, Inc. | Current |
Accepting new patients | |
| K G Sahetya PSC | Current |
Accepting new patients |
Locations
427 US 31W Byp
Bowling Green, KY 42101
Phone (270) 796-8000
295 Main St
Calhoun, KY 42327
Phone (270) 273-9310
140 Veterans Memorial Ave
Clay, KY 42404
Phone (270) 326-4780
107 E Main St
Earlington, KY 42410
Phone (270) 383-2521
220 N Morgan St
Morganfield, KY 42437
Phone (270) 285-1318
2816 Veach Rd
Ste 205
Owensboro, KY 42303
Phone (270) 926-9821
1600 Breckenridge St
Owensboro, KY 42303
Phone (270) 686-7744
1100 S Jefferson St
Princeton, KY 42445
Phone (270) 365-3343
215 E Main St
#215
Providence, KY 42450
215 E Main St
Providence, KY 42450
Phone (270) 667-7017
Interoperability endpoints
- lori.marrero@rhca.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3009087 | KY | Yes |
Addresses
Primary practice location
215 E Main St
Providence, KY 42450-1261
Mailing address
PO Box 37
Providence, KY 42450-0037
Phone (270) 667-7017
Other practice location 1
427 US 31W Byp
Bowling Green, KY 42101-1703
Phone (270) 796-8000
Other providers in Providence, KY
- Kayla Jean Kukahiko
- Winona F Lambdin
- Tristan K Lineberry
- Brad Long
- Joseph Lowery
- Paige P. Warren DMD PSC
- Jami T Perry
- Adria N Porter
- Providence Ind. Schools
- Raymond T Quatro
All providers in Providence, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.