Active NPI
Lori Ann Grabner, ANP
- Adult Health Nurse Practitioner
- Mountain Home, TN
National Provider Identifier
1265784177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 0000017008
- Practice address
- Dogwood Avenue
Mountain Home, TN 37684-3768 - Phone
- (865) 286-6951
- NPI assigned
- Oct 3, 2012
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 0000017008 | TN | Primary |
Addresses
Primary practice location
Dogwood Avenue
Mountain Home, TN 37684-3768
Mailing address
PO Box 37087
Baltimore, MD 21297-3087
Phone (828) 687-5616
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1530904 | Medicaid | TN | |
| 4344426 | Other | TN | BCBS OF TN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000017008 | TN | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549411200000",
"number": "1265784177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37087",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973087",
"telephone_number": "828-687-5616",
"fax_number": "828-650-8076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DOGWOOD AVENUE",
"city": "MOUNTAIN HOME",
"state": "TN",
"postal_code": "376843768",
"telephone_number": "865-286-6951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRABNER",
"first_name": "LORI",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-03",
"last_updated": "2019-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TN",
"license": "0000017008",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1530904",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN",
"identifier": "4344426",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mountain Home, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.