Active NPI
Lori Joy Bennett, MS FNP
- Family Nurse Practitioner
- Ann Arbor, MI
National Provider Identifier
1316056005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 47041134489
- Practice address
- 2364 Bishop Ave
Ann Arbor, MI 48105-2248 - Phone
- (734) 647-1636
- Fax
- (734) 763-9634
- NPI assigned
- Aug 29, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 47041134489 | MI | Primary |
Addresses
Primary practice location
2364 Bishop Ave
Ann Arbor, MI 48105-2248
Mailing address
2364 Bishop Ave
Ann Arbor, MI 48105-2248
Phone (734) 647-1636
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4110360 | Medicaid | MI | |
| 5008664290 | Other | MI | BCBS |
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
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47041134489 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of Michigan | Past | Accepting new patients | |
| The Regents of the University of Michigan | Family | Past | Accepting new patients |
| Corner Health Center | Past | Accepting new patients |
Interoperability endpoints
- lori.bennett.1@4327.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
-
dba UM Nurse Managed Centers/North Campus
- Family Nurse Practitioner
- Ann Arbor, MI
- NPI 1811144496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316056005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2364 BISHOP AVE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481052248",
"telephone_number": "734-647-1636",
"fax_number": "734-763-9634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2364 BISHOP AVE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481052248",
"telephone_number": "734-647-1636",
"fax_number": "734-763-9634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "LORI",
"middle_name": "JOY",
"credential": "MS FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "47041134489",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4110360",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5008664290",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.