Individual provider Active NPI

Lorraine R. Diana, NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Leonardtown, MD
National Provider Identifier
1144208711
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
R069788 Issued in MD
Practice address
40900 Merchants LN
Leonardtown, MD 20650-3795
Phone
(301) 997-1315
Fax
(301) 997-1110
NPI assigned
Jan 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X R069788 MD Primary

Addresses

Primary practice location

40900 Merchants LN
Leonardtown, MD 20650-3795

Mailing address

40900 Merchants LN
Leonardtown, MD 20650-3795
Phone (301) 997-1315

Other names 1

  • Lorraine R. Merranko Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081013000354 MD Practitioner - Nurse Practitioner 2062580442 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R069788MDMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Jul 1, 2014 Accepting new patients
MGMC, LLC CurrentSince Jul 1, 2014 Accepting new patients
Michael H Hotchkiss, M.D., P.a. PastSince Sep 1, 2012 Accepting new patients

Locations

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

40900 Merchants Ln
Unit 102
Leonardtown, MD 20650
Phone (301) 977-1315

Organizations & group practices 3

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1144208711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40900 MERCHANTS LN",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503795",
            "telephone_number": "301-997-1315",
            "fax_number": "301-997-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40900 MERCHANTS LN",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206503795",
            "telephone_number": "301-997-1315",
            "fax_number": "301-997-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIANA",
        "first_name": "LORRAINE",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MD",
            "license": "R069788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORRAINE",
            "last_name": "MERRANKO",
            "middle_name": "R.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leonardtown, MD

Sources for this page

Verify at the official NPI Registry.