Lori Flis, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

45370 Issued in WV

Practice address

302 W Main Street
Gulf Family Practice II
Sophia, WV 25921

Phone

(304) 683-4304

Fax

(304) 683-4307

NPI assigned

Feb 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV, TX2 enrollments

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• US Health Dept of Health & Human Services

  • Rural Health Clinic/Center
  • Poplar, MT
  • NPI 1972694602

  TX

  Medicare reassignment NPD
• Carelon Medical Partners, PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Nashville, TN
  • NPI 1124443403

  WV

  Medicare reassignment
• U S Health Dept of Health & Human Services

  • Critical Access Hospital
  • Lodge Grass, MT
  • NPI 1750410395
  NPD
• US Dept of HHS

  • Clinic/Center
  • Lame Deer, MT
  • NPI 1053487991
  NPD
• Regional Family Medicine, Inc

  • General Practice Physician
  • Rupert, WV
  • NPI 1942458039
  NPD (past)
• Ronceverte Physician Group LLC

  • Gastroenterology Physician
  • Ronceverte, WV
  • NPI 1306170048
  NPD (past)
• Wythville Management Consultants LLC,

  • Specialist
  • Lewisburg, WV
  • NPI 1598756207
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1154457117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "SCARBRO",
            "state": "WV",
            "postal_code": "259170337",
            "telephone_number": "304-469-2905",
            "fax_number": "304-465-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W MAIN STREET",
            "address_2": "GULF FAMILY PRACTICE II",
            "city": "SOPHIA",
            "state": "WV",
            "postal_code": "25921",
            "telephone_number": "304-683-4304",
            "fax_number": "304-683-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLIS",
        "first_name": "LORI",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "45370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810011082",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Daniels
• Davis Chiropractic Inc
• Robert Kent Davis, DC
• Jessica Marie Dennis
• Lee Duncan
• Trista L. Gibson, PA-C
• Michael D Green, PA-C
• Amber Gunter
• Mitzi Jane Haga
• Makenzie Nichole Hale

• Family Nurse Practitioner in Sophia, WV
• Providers in Sophia, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.

Verify at the official NPI Registry.