Individual provider Active NPI

Lori Carlson, CPNP

  • Pediatric Clinical Nurse Specialist
  • Troy, MI
National Provider Identifier
1235521378
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X
License
4704206655 Issued in MI
Practice address
3270 W Big Beaver Rd Ste 400
Troy, MI 48084-2901
Phone
(248) 816-2558
Fax
(248) 816-2801
NPI assigned
Feb 26, 2015
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Clinical Nurse Specialist 364SP0200X 4704206655 MI Primary

Addresses

Primary practice location

3270 W Big Beaver Rd Ste 400
Troy, MI 48084-2901

Mailing address

3270 W Big Beaver Rd Ste 400
Troy, MI 48084-2901
Phone (248) 816-2558

Other practice location 1

6667 Orchard Lake Rd
West Bloomfield, MI 48322-3404
Phone (248) 206-8950

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lori.carlson.1@33161.direct.athenahealth.com Direct

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)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704206655MIMDPediatric Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Molly O'Shea, MD, PLLC Past Accepting new patients
Molly Oshea PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lcarlson1228000@epic00.shdirect.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1235521378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 W BIG BEAVER RD STE 400",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480842901",
            "telephone_number": "248-816-2558",
            "fax_number": "248-816-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 W BIG BEAVER RD STE 400",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480842901",
            "telephone_number": "248-816-2558",
            "fax_number": "248-816-2801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6667 Orchard Lake Rd",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483223404",
            "country_code": "US",
            "telephone_number": "248-206-8950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "LORI",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-26",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "MI",
            "license": "4704206655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lori.carlson.1@33161.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena Direct Messaging Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Athena Direct Messaging Email Address",
            "address_1": "6667 Orchard Lake Rd",
            "city": "West Bloomfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483223404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.