NPIMap

Individual provider Active NPI

Lorie Anne Vernor, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Goliad, TX
National Provider Identifier
1194492439
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1051119 Issued in TX
Practice address
139 W Franklin St
Goliad, TX 77963-4281
Phone
(361) 645-8235
Fax
(361) 645-3282
NPI assigned
Aug 25, 2021
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1051119 TX Primary

Addresses

Primary practice location

139 W Franklin St
Goliad, TX 77963-4281

Mailing address

139 W Franklin St
Goliad, TX 77963-4281
Phone (361) 645-8235

Other practice location 1

4206 N Ben Jordan St
Victoria, TX 77901-3076
Phone (361) 575-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211014001987 TX Practitioner - Nurse Practitioner 9335547751 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dewitt Medical DistrictGroup PAC ID 3072421395, 32 clinicians

Practice addresses (Care Compare)

139 W Franklin St
Goliad, TX 77963-4281
Phone (361) 645-8235

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dewitt Medical District CurrentSince Dec 1, 2023 Accepting new patients
Dewitt Medical District CurrentSince Dec 1, 2023 Accepting new patients
Victoria NP Clinic PLLC Family CurrentSince Oct 1, 2021 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532

139 W Franklin St
Goliad, TX 77963
Phone (361) 645-8235

113 W Main St
Kenedy, TX 78119
Phone (830) 583-0612

4206 N Ben Jordan St
Victoria, TX 77901
Phone (361) 573-4711

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1194492439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 W FRANKLIN ST",
            "city": "GOLIAD",
            "state": "TX",
            "postal_code": "779634281",
            "telephone_number": "361-645-8235",
            "fax_number": "361-645-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 W FRANKLIN ST",
            "city": "GOLIAD",
            "state": "TX",
            "postal_code": "779634281",
            "telephone_number": "361-645-8235",
            "fax_number": "361-645-3282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4206 N Ben Jordan St",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "779013076",
            "country_code": "US",
            "telephone_number": "361-575-4100",
            "fax_number": "361-575-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERNOR",
        "first_name": "LORIE",
        "middle_name": "ANNE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1051119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goliad, TX

Sources for this page

Verify at the official NPI Registry.