Active NPI
Robert M Lorenz, RN,ANP
- Nurse Practitioner
- Saint Louis, MO
National Provider Identifier
1295769693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 102265
- Practice address
- 10012 Kennerly Rd
Suite 403
Saint Louis, MO 63128-2197 - Phone
- (314) 880-6676
- Fax
- (314) 842-4372
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 102265 | MO | Primary |
Addresses
Primary practice location
10012 Kennerly Rd
Suite 403
Saint Louis, MO 63128-2197
Mailing address
10012 Kennerly Rd
Suite 403
Saint Louis, MO 63128-2197
Phone (314) 880-6676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102265 | Other | MO | RN LICENSE |
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, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102265 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Louis Heart Institute Cardiothoracic Surgeons, Inc. | Past | Accepting new patients | |
| Cardiothoracic Surgery Associates, P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
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- NPI 1013935816
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- Swansea, IL
- NPI 1073548608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459987200000",
"number": "1295769693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10012 KENNERLY RD",
"address_2": "SUITE 403",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282197",
"telephone_number": "314-880-6676",
"fax_number": "314-842-4372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10012 KENNERLY RD",
"address_2": "SUITE 403",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282197",
"telephone_number": "314-880-6676",
"fax_number": "314-842-4372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORENZ",
"first_name": "ROBERT",
"middle_name": "M",
"credential": "RN,ANP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2016-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "102265",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "102265",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.