Lora Enriquez Jarabelo, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

350896 Issued in NY

Practice address

213 S Main St
Pearl River, NY 10965-2440

Phone

(626) 726-1820

NPI assigned

Jun 2, 2023

Last updated

Jun 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685750400000",
    "number": "1164116216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S MAIN ST",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109652440",
            "telephone_number": "626-726-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 S MAIN ST",
            "city": "PEARL RIVER",
            "state": "NY",
            "postal_code": "109652440",
            "telephone_number": "626-726-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARABELO",
        "first_name": "LORA",
        "middle_name": "ENRIQUEZ",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-03",
        "certification_date": "2023-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350896",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "657804",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Ingargiola, MD
• Ingrid L. Montgomery MD MPH PLLC
• Integrated Medical Health Wellness P C
• Robert Daniel Jablonski Jr., MD
• Lisa Marie Janelli-Morano, DNP, RN, FNP-BC
• Jay D. Helman DPM PC
• Rennie Jhingoor
• Susan Johnson-Finch
• Eddy Joseph
• Anthony Joyce, OT

• Family Nurse Practitioner in Pearl River, NY
• Providers in Pearl River, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2023; 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.