Individual provider Active NPI

Lori A Durocher, WHNP

  • Women's Health Nurse Practitioner
  • Great Falls, MT
National Provider Identifier
1336140227
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN015771 Issued in MT
Practice address
1400 29TH St S
Suite 101
Great Falls, MT 59405-5316
Phone
(406) 761-7924
Fax
(406) 761-7945
NPI assigned
Aug 2, 2005
Last updated
Aug 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN015771 MT Primary

Addresses

Primary practice location

1400 29TH St S
Suite 101
Great Falls, MT 59405-5316

Mailing address

1400 29TH St S
Suite 101
Great Falls, MT 59405-5315
Phone (406) 761-7924

Other identifiers 1

IdentifierTypeStateIssuer
0433108MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20090811000759 MT Practitioner - Nurse Practitioner 9739233636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Falls Obstetrical and Gynecological AssociatesGroup PAC ID 4284534918, 11 clinicians

Practice addresses (Care Compare)

1400 29TH St S
Suite 101
Great Falls, MT 59405-5316
Phone (406) 761-7924

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN015771MTMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Great Falls Obstetrical and Gynecological Associates CurrentSince Jul 20, 2009 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

1400 29th St S
Ste 101
Great Falls, MT 59405
Phone (406) 761-7924

1522 9th St S
Great Falls, MT 59405
Phone (406) 761-7924

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1336140227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 29TH ST S",
            "address_2": "SUITE 101",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055315",
            "telephone_number": "406-761-7924",
            "fax_number": "406-761-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 29TH ST S",
            "address_2": "SUITE 101",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055316",
            "telephone_number": "406-761-7924",
            "fax_number": "406-761-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUROCHER",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MT",
            "license": "RN015771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0433108",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.