Individual provider Active NPI

Lorie M. Brackbill

  • Rehabilitation Counselor
  • Ely, NV
National Provider Identifier
1265736334
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation CounselorTaxonomy code 225C00000X
Practice address
1675 Avenue F
Ely, NV 89301-3500
Phone
(775) 289-1671
Fax
(775) 289-1699
NPI assigned
Jan 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X Primary

Addresses

Primary practice location

1675 Avenue F
Ely, NV 89301-3500

Mailing address

1665 Old Hot Springs Rd
Suite 157
Carson City, NV 89706-0782
Phone (775) 687-5162

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

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1265736334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 OLD HOT SPRINGS RD",
            "address_2": "SUITE 157",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897060782",
            "telephone_number": "775-687-5162",
            "fax_number": "775-687-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 AVENUE F",
            "city": "ELY",
            "state": "NV",
            "postal_code": "893013500",
            "telephone_number": "775-289-1671",
            "fax_number": "775-289-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKBILL",
        "first_name": "LORIE",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ely, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.