Individual provider Active NPI

Lori Elizabeth Anderson, FNP-C

  • Family Nurse Practitioner
  • Danville, WV
National Provider Identifier
1295564920
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
120382 Issued in WV
Practice address
137 Peach CT
Danville, WV 25053-7082
Phone
(304) 689-4414
NPI assigned
Jul 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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 120382 WV Primary

Addresses

Primary practice location

137 Peach CT
Danville, WV 25053-7082

Mailing address

507 2ND Ave
Logan, WV 25601-3145
Phone (304) 785-9194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20241120001977 WV Practitioner - Nurse Practitioner 5294083820 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Hospitalist Group Inc CurrentSince Sep 16, 2024 Accepting new patients
Huntington Hospitalist Group Inc CurrentSince Sep 16, 2024 Accepting new patients
Huntington Hospitalist Group Inc CurrentSince Sep 16, 2024 Accepting new patients

Locations

137 Peach Ct
Danville, WV 25053
Phone (304) 245-9519

2828 1st Ave
Ste 204
Huntington, WV 25702
Phone (304) 525-7111

Organizations & group practices 3

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": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1295564920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 2ND AVE",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013145",
            "telephone_number": "304-785-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 PEACH CT",
            "city": "DANVILLE",
            "state": "WV",
            "postal_code": "250537082",
            "telephone_number": "304-689-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "LORI",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "120382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, WV

Sources for this page

Verify at the official NPI Registry.