Individual provider Active NPI

Lori Lynn Krefman, N.P.

  • Nurse Practitioner
  • Kalamazoo, MI
National Provider Identifier
1194707182
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704117815 Issued in MI
Practice address
3408 Miller Rd
Suite 301
Kalamazoo, MI 49001-4111
Phone
(269) 350-7194
Fax
(269) 350-5030
NPI assigned
Nov 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704117815 MI Primary

Addresses

Primary practice location

3408 Miller Rd
Suite 301
Kalamazoo, MI 49001-4111

Mailing address

3408 Miller Rd
Suite 301
Kalamazoo, MI 49001-4111
Phone (269) 350-7194

Other identifiers 1

IdentifierTypeStateIssuer
4940228MedicaidMI

Other names 1

  • Lori Lynn Lennier Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704117815MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Housecall PastSince Nov 1, 2014 Accepting new patients
Access Medical Management, Inc. Past Accepting new patients
Az Medical Services Management LLC Past Accepting new patients

Organizations & group practices 3

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1194707182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 MILLER RD",
            "address_2": "SUITE 301",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014111",
            "telephone_number": "269-350-7194",
            "fax_number": "269-350-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 MILLER RD",
            "address_2": "SUITE 301",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014111",
            "telephone_number": "269-350-7194",
            "fax_number": "269-350-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREFMAN",
        "first_name": "LORI",
        "middle_name": "LYNN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704117815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4940228",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "LENNIER",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.