Active NPI
Lori Jeanne Prins, BSN, MSN
- Pediatric Nurse Practitioner
- Everett, WA
National Provider Identifier
1255583191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP30001943
- Practice address
- 900 Pacific Ave
Everett, WA 98201-4168 - Phone
- (425) 258-7311
- Fax
- (425) 258-7618
- NPI assigned
- Oct 22, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | AP30001943 | WA | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | AP30001943 | WA | |
| Nurse Practitioner | 363L00000X | AP30001943 | WA | |
| Community Health Nurse Practitioner | 363LC1500X | AP30001943 | WA | |
| Pediatric Nurse Practitioner | 363LP0200X | AP30001943 | WA | Primary |
Addresses
Primary practice location
900 Pacific Ave
Everett, WA 98201-4168
Mailing address
PO Box 3360
Portland, OR 97208-3360
Phone (866) 366-2983
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP30001943 | Other | WA | WA ST LICENSE |
| RN00096704 | Other | WA | WA ST LICENSE |
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
- Bachelor on Science - Nursing, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30001943 | WA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429747200000",
"number": "1255583191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3360",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083360",
"telephone_number": "866-366-2983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 PACIFIC AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014168",
"telephone_number": "425-258-7311",
"fax_number": "425-258-7618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINS",
"first_name": "LORI",
"middle_name": "JEANNE",
"credential": "BSN, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-22",
"last_updated": "2015-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "AP30001943",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "WA",
"license": "AP30001943",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30001943",
"primary": false
},
{
"code": "363LC1500X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Community Health",
"state": "WA",
"license": "AP30001943",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "WA",
"license": "AP30001943",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA ST LICENSE",
"identifier": "AP30001943",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA ST LICENSE",
"identifier": "RN00096704",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.