Individual provider Active NPI

Lorie Shora, NP

  • Family Nurse Practitioner
  • Fairfax, VA
National Provider Identifier
1265748255
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN1004513 Issued in DC
Practice address
8318 Arlington Blvd
#308
Fairfax, VA 22031-5218
Phone
(703) 573-4440
Fax
(703) 280-4650
NPI assigned
Aug 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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 RN1004513 DC Primary

Addresses

Primary practice location

8318 Arlington Blvd
#308
Fairfax, VA 22031-5218

Mailing address

8318 Arlington Blvd
#308
Fairfax, VA 22031-5218
Phone (703) 573-4440

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN1004513DCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Richard R. Rosenthal, MD, LTD Past Accepting new patients

Organizations & group practices 1

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": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316476800000",
    "number": "1265748255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8318 ARLINGTON BLVD",
            "address_2": "#308",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220315218",
            "telephone_number": "703-573-4440",
            "fax_number": "703-280-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8318 ARLINGTON BLVD",
            "address_2": "#308",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220315218",
            "telephone_number": "703-573-4440",
            "fax_number": "703-280-4650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORA",
        "first_name": "LORIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2011-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1004513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.