Individual provider Active NPI

Lori Henry, NP

  • Family Nurse Practitioner
  • Hartselle, AL
National Provider Identifier
1255754321
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-110103 Issued in AL
Practice address
220 Cedar St NW
Hartselle, AL 35640
Phone
(256) 773-2260
NPI assigned
Jan 27, 2014
Last updated
May 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-110103 AL Primary

Addresses

Primary practice location

220 Cedar St NW
Hartselle, AL 35640

Mailing address

220 Cedar St NW
Hartselle, AL 35640-2404
Phone (256) 773-2260

Other practice location 1

117 2nd Ave SE
Cullman, AL 35055-3511
Phone (256) 291-8877

Other identifiers 1

IdentifierTypeStateIssuer
163909MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151029001725 AL Practitioner - Nurse Practitioner 6901021526 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warehouse Primary Care and Specialty Clinic Inc.Group PAC ID 8527446301, 10 clinicians
Cedar Street Medical AssociatesGroup PAC ID 2961869151, 5 clinicians

Practice addresses (Care Compare)

117 2ND Ave SE
Cullman, AL 35055-3511
Phone (256) 291-8877

220 Cedar St NW
Hartselle, AL 35640-2404
Phone (256) 773-2260

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-110103ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Koonce Surgical PC CurrentSince Nov 1, 2024 Accepting new patients
Crossroads Medical Group, LLC Current Accepting new patients
Cedar Street Medical Associates CurrentSince May 30, 2023 Accepting new patients
Warehouse Primary Care & Specialty Clinic Inc. CurrentSince Jul 1, 2022 Accepting new patients

Locations

707 W Market St
Ste C
Athens, AL 35611
Phone (256) 216-6500

101 2nd Ave SE
Cullman, AL 35055
Phone (256) 737-1793

117 2nd Ave SE
Cullman, AL 35055
Phone (256) 291-8877

1635 Highway 31 NW
Hartselle, AL 35640
Phone (256) 735-5965

1635 Highway 31 NW
Ste C
Hartselle, AL 35640
Phone (256) 733-0110

220 Cedar St NW
Hartselle, AL 35640
Phone (256) 258-8579

Interoperability endpoints

  • Direct secure messaging: lori.henry@948034614067204.direct.elationemr.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1255754321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CEDAR ST NW",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356402404",
            "telephone_number": "256-773-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CEDAR ST NW",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "35640",
            "telephone_number": "256-773-2260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 2nd Ave SE",
            "address_purpose": "LOCATION",
            "city": "Cullman",
            "state": "AL",
            "postal_code": "350553511",
            "country_code": "US",
            "telephone_number": "256-291-8877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "LORI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-27",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-110103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163909",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartselle, AL

Sources for this page

Verify at the official NPI Registry.