Lora C Bird, ANP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP60519194 Issued in WA

Practice address

705 Gage Blvd Ste 102
Richland, WA 99352-9716

Phone

(814) 753-0687

Fax

(509) 942-3273

NPI assigned

Aug 2, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• A Balanced You, PLLC

  • Nurse Practitioner
  • Richland, WA
  • NPI 1902669492
  NPD Authorized official

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1235485731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5990 WILLOWBEND ST",
            "city": "WEST RICHLAND",
            "state": "WA",
            "postal_code": "993536079",
            "telephone_number": "814-753-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 GAGE BLVD STE 102",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529716",
            "telephone_number": "814-753-0687",
            "fax_number": "509-942-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRD",
        "first_name": "LORA",
        "middle_name": "C",
        "credential": "ANP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "18180",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP60519194",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60519194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "96187",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON BOARD OF NURSING",
            "identifier": "202005260NP-PP",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235485731",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN BOARD OF NURSING",
            "identifier": "18180",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Bienkowski, MD
• Jenifer Bigbey
• Philip Biggs, MD
• Lynetta Aileen Bigness, RNFA
• Layton Bird, PT
• Anna Elizabeth Bixler, ARNP
• John-David Black, M.D
• Lisa Blair, RDH
• Randy Blair, DDS
• David Blaisdell, CPO, LPO

• Nurse Practitioner in Richland, WA
• Providers in Richland, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.