Active NPI
Lori Ann Verburgt, RN, CDE
- Diabetes Educator Registered Nurse
- West Allis, WI
National Provider Identifier
1245494608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 66404-030
- Practice address
- 8901 W. Lincoln Ave
West Allis, WI 53227-9983 - Phone
- (414) 328-6218
- Fax
- (414) 328-6210
- NPI assigned
- Jul 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 66404-030 | WI | Primary |
Addresses
Primary practice location
8901 W. Lincoln Ave
West Allis, WI 53227-9983
Mailing address
8901 W. Lincoln Ave
West Allis, WI 53227-9983
Phone (414) 328-6218
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66404-030 | Other | WI | WISCONSIN DEPT OF REGULATION AND LICENSING |
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66404-030 | WI | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216080000000",
"number": "1245494608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 W. LINCOLN AVE",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532279983",
"telephone_number": "414-328-6218",
"fax_number": "414-328-6210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 W. LINCOLN AVE",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532279983",
"telephone_number": "414-328-6218",
"fax_number": "414-328-6210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERBURGT",
"first_name": "LORI",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RN, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-15",
"last_updated": "2008-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "WI",
"license": "66404-030",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WISCONSIN DEPT OF REGULATION AND LICENSING",
"identifier": "66404-030",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Allis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.