NPIMap

Individual provider Active NPI

Lori Ann Jerina, CNM

  • Advanced Practice Midwife
  • Crete, NE
National Provider Identifier
1396149142
Registry record updated Dec 16, 2014
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Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
120063 Issued in NE
Practice address
969 E Highway 33
Crete, NE 68333-2547
Phone
(402) 826-3222
NPI assigned
Oct 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 120063 NE Primary

Addresses

Primary practice location

969 E Highway 33
Crete, NE 68333-2547

Mailing address

969 E Highway 33
Crete, NE 68333-2547
Phone (402) 826-3222

Other names 1

  • Lori Ann Freye Former name

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)
Enrolled
Credentials
Certified Nurse Midwife, Physician Assistant

State licenses

LicenseStateTypeSpecialty
120063NEMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418688000000",
    "number": "1396149142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 E HIGHWAY 33",
            "city": "CRETE",
            "state": "NE",
            "postal_code": "683332547",
            "telephone_number": "402-826-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 E HIGHWAY 33",
            "city": "CRETE",
            "state": "NE",
            "postal_code": "683332547",
            "telephone_number": "402-826-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERINA",
        "first_name": "LORI",
        "middle_name": "ANN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NE",
            "license": "120063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "FREYE",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crete, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.