Individual provider Active NPI

Jessica Anne Lord, PA-C

  • Family Medicine Physician
  • Lancaster, PA
National Provider Identifier
1316533920
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA061147 Issued in PA
Practice address
625 E King St
Lancaster, PA 17602-3111
Phone
(603) 490-2906
NPI assigned
Dec 17, 2020
Last updated
Dec 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA061147 PA Primary

Addresses

Primary practice location

625 E King St
Lancaster, PA 17602-3111

Mailing address

155 Norlawn Cir
Lancaster, PA 17601-2671
Phone (603) 490-2906

Other practice location 1

99 North Rd
Brentwood, NH 03833-6613
Phone (603) 490-2906

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL pcmemr Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA061147PAMDFamily Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1316533920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 NORLAWN CIR",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012671",
            "telephone_number": "603-490-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E KING ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176023111",
            "telephone_number": "603-490-2906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 North Rd",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "NH",
            "postal_code": "038336613",
            "country_code": "US",
            "telephone_number": "603-490-2906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LORD",
        "first_name": "JESSICA",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MA061147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pcmemr",
            "affiliation": "N",
            "endpointDescription": "online EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "625 E King St",
            "city": "Lancaster",
            "state": "PA",
            "country_code": "US",
            "postal_code": "176023111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.