Lori Pederson

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

4900 Coventry CT
Eau Claire, WI 54701-8066

Phone

(715) 559-6607

NPI assigned

Dec 14, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1336655232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 COVENTRY CT",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547018066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 COVENTRY CT",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547018066",
            "telephone_number": "715-559-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSON",
        "first_name": "LORI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-14",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Fredrick Pearson, DPT
• Madilyn Pearson, M.A. CCC SLP
• Robert Curtis Peck, MD
• Susan D Peck, RN, PHD, GNP-BC
• Sarah J. Pedersen, RDH, CDHC
• Miranda S Pederson, CSAC
• Thomas Edward Pederson, MD
• Johann M Peikert, MD
• Brooke Ann Pelke, PA-C
• Aaron Pelle

• Non-emergency Medical Transport (VAN) in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Non-emergency Medical Transport (VAN) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.