Individual provider Active NPI

Lori Ann Winge, RN

  • Registered Nurse
  • Sioux City, IA
National Provider Identifier
1336443142
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
091361 Issued in IA
Practice address
4545 Sergeant Rd
Sioux City, IA 51106-4706
Phone
(712) 274-2400
NPI assigned
Jan 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 091361 IA Primary

Addresses

Primary practice location

4545 Sergeant Rd
Sioux City, IA 51106-4706

Mailing address

4545 Sergeant Rd
Sioux City, IA 51106-4706
Phone (712) 274-2400

Other identifiers 1

IdentifierTypeStateIssuer
091361OtherIAIOWA BOARD OF NURSING

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
091361IAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1336443142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 SERGEANT RD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064706",
            "telephone_number": "712-274-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 SERGEANT RD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064706",
            "telephone_number": "712-274-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGE",
        "first_name": "LORI",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "091361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA BOARD OF NURSING",
            "identifier": "091361",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.