Individual provider Active NPI

Lori Ann Bertolini, CNM

  • Advanced Practice Midwife
  • Harlingen, TX
National Provider Identifier
1174554802
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
712053 Issued in TX
Practice address
1706 Treasure Hills Blvd
Harlingen, TX 78550-8911
Phone
(956) 365-6000
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 712053 TX Primary

Addresses

Primary practice location

1706 Treasure Hills Blvd
Harlingen, TX 78550-8911

Mailing address

9000 Adobe CT
Alvarado, TX 76009-4528
Phone (817) 881-7303

Other practice location 1

344 SW Wilshire Blvd
Suite I-109
Burleson, TX 76028-5358
Phone (817) 295-9994

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190619003500 TX Practitioner - Certified Nurse Midwife (CNM) 8820213531 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
712053TXMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Su Clinica Familiar CurrentSince Feb 15, 2019 Accepting new patients

Locations

1706 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 365-6000

131 FM 3168
Raymondville, TX 78580
Phone (956) 689-2196

Interoperability endpoints

  • Direct secure messaging: lori.bertolini.1@27715.direct.athenahealth.com

Organizations & group practices 1

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1174554802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 ADOBE CT",
            "city": "ALVARADO",
            "state": "TX",
            "postal_code": "760094528",
            "telephone_number": "817-881-7303",
            "fax_number": "817-295-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 TREASURE HILLS BLVD",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508911",
            "telephone_number": "956-365-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "344 SW Wilshire Blvd",
            "address_2": "Suite I-109",
            "address_purpose": "LOCATION",
            "city": "Burleson",
            "state": "TX",
            "postal_code": "760285358",
            "country_code": "US",
            "telephone_number": "817-295-9994",
            "fax_number": "817-295-4430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERTOLINI",
        "first_name": "LORI",
        "middle_name": "ANN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "712053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.