Lori B Spors

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

AP141940 Issued in TX

Practice address

705 West Main Street
Coppell, TX 75019

Phone

(972) 304-6400

NPI assigned

Aug 2, 2019

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 31, 2025 through Jan 31, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IHIDAD/Endpoint/IHIDAD

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.

• Harris 4 Health, PLLC

  • Family Nurse Practitioner
  • Coppell, TX
  • NPI 1326386004
  NPD (past)
• Lifestream Health Center PA

  • Specialist
  • Coppell, TX
  • NPI 1235363409
  NPD (past)

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1154976538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CARRIAGE TRL",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750988248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 WEST MAIN STREET",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "75019",
            "telephone_number": "972-304-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPORS",
        "first_name": "LORI",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP141940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE MEDICAID AND INSURANCE",
            "identifier": "OTHER",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annie Soren
• Southwestern Perio & Implant, PLLC
• Paige Spangler, PT
• Sparks Healthcare Services Inc
• Spooner Physical Therapy & Hand Rehab, PC
• Meagan Taylor Springer, DPT
• Brittany Spruiell, DDS
• Ava Cheryl Stanczak, D.O.
• Breunha Stapleton
• Star Dermatology PLLC

• Primary Care Nurse Practitioner in Coppell, TX
• Providers in Coppell, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.