Individual provider Active NPI

Lori Thompson

  • Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1316467749
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5009603 Issued in NC
Practice address
7780 Brier Creek Pkwy Ste 306
Raleigh, NC 27617-8831
Phone
(919) 582-7272
Fax
(833) 947-3156
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5009603 NC Primary

Addresses

Primary practice location

7780 Brier Creek Pkwy Ste 306
Raleigh, NC 27617-8831

Mailing address

7780 Brier Creek Pkwy Ste 306
Raleigh, NC 27617-8831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20170815001687 NC Practitioner - Nurse Practitioner 4385916154 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advaita Integrated Medicine PLLCGroup PAC ID 4385023043, 17 clinicians

Practice addresses (Care Compare)

6112 Saint Giles St
Raleigh, NC 27612-7043
Phone (919) 893-4465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5009603NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Mental Health and Wellness, PLLC Current Accepting new patients
Advaita Integrated Medicine PLLC CurrentSince Apr 1, 2025 Accepting new patients
Max Psychiatry PC CurrentSince Oct 11, 2021 Accepting new patients
Medpsych Integrated PLLC CurrentSince Jul 10, 2024 Accepting new patients

Locations

1011 W Williams St
Ste 106
Apex, NC 27502
Phone (919) 386-0402

1350 SE Maynard Rd
Ste 201
Cary, NC 27511
Phone (919) 651-0820

6112 Saint Giles St
Raleigh, NC 27612
Phone (919) 782-3870

6124 Saint Giles St
Raleigh, NC 27612
Phone (919) 893-4465

7780 Brier Creek Pkwy
Ste 306
Raleigh, NC 27617
Phone (919) 532-9419

Organizations & group practices 4

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": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1316467749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 BRIER CREEK PKWY STE 306",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276178831",
            "fax_number": "883-941-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 BRIER CREEK PKWY STE 306",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276178831",
            "telephone_number": "919-582-7272",
            "fax_number": "833-947-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LORI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5009603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.