Individual provider Active NPI

Lori Himschoot, CRNA

  • Certified Registered Nurse Anesthetist
  • Crestwood, KY
National Provider Identifier
1134567761
Registry record updated Jan 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3015572 Issued in KY
Practice address
6200 Brentwood CT
Crestwood, KY 40014-6789
Phone
(662) 538-4636
NPI assigned
Jun 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2025

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 1180544 KY
Certified Registered Nurse Anesthetist 367500000X 3015572 KY Primary

Addresses

Primary practice location

6200 Brentwood CT
Crestwood, KY 40014-6789

Mailing address

6200 Brentwood CT
Crestwood, KY 40014-6789
Phone (662) 538-4636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY, IN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130925000889 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709020001 Reassigns benefits to 1 organization
I20210325002611 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709020001 Reassigns benefits to 1 organization
I20220318001865 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6709020001 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Tennessee, HSC, College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Indiana LLCGroup PAC ID 1153576905, 130 clinicians

Practice addresses (Care Compare)

1850 State St
New Albany, IN 47150-4990
Phone (812) 944-7701

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1180544KYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Indiana LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 18, 2023 Accepting new patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince May 3, 2017 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince May 3, 2017 Accepting new patients
Professional Anesthesia Services of Kentucky PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2021 Accepting new patients
Apollo Medical Group of Jeffersonville LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2022 Accepting new patients

Locations

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

2990 Gottbrath Pkwy
Jeffersonvlle, IN 47130
Phone (812) 670-0990

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

4960 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 446-8000

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

2400 Eastpoint Pkwy
Louisville, KY 40223
Phone (502) 210-4850

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737763200000",
    "number": "1134567761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 BRENTWOOD CT",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400146789",
            "telephone_number": "662-538-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 BRENTWOOD CT",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400146789",
            "telephone_number": "662-538-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMSCHOOT",
        "first_name": "LORI",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-05",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1180544",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3015572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestwood, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.