Active NPI
Lori Rae Vlazny, ARNP
- Family Nurse Practitioner
- Monona, IA
National Provider Identifier
1255850970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A075048
- Practice address
- 101 Franklin St
Monona, IA 52159-8092 - Phone
- (563) 539-5656
- NPI assigned
- Sep 13, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A075048 | IA | Primary |
Addresses
Primary practice location
101 Franklin St
Monona, IA 52159-8092
Mailing address
19866 200TH St
Farmersburg, IA 52047-8066
Phone (563) 783-2434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180102001075 | IA | Practitioner - Nurse Practitioner | 0244598944 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sumner Community Club | Current | Accepting new patients | |
| Truhealth, LLC | Current | Accepting new patients | |
| Sumner Community Club | Current | Accepting new patients | |
| Sumner Community Club | Current | Accepting new patients |
Locations
1050 4th Ave SE
Cedar Rapids, IA 52403
Phone (319) 366-8714
909 W 1st St
Sumner, IA 50674
Phone (563) 578-3275
1971 Tennessee Ave N
Parsons, TN 38363
Phone (731) 614-1424
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505260800000",
"number": "1255850970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19866 200TH ST",
"city": "FARMERSBURG",
"state": "IA",
"postal_code": "520478066",
"telephone_number": "563-783-2434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 FRANKLIN ST",
"city": "MONONA",
"state": "IA",
"postal_code": "521598092",
"telephone_number": "563-539-5656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VLAZNY",
"first_name": "LORI",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-13",
"last_updated": "2017-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A075048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monona, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.