Individual provider Active NPI

Lori Schomberg, P.A.

  • Physician Assistant
  • Irving, TX
National Provider Identifier
1396808333
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA05074 Issued in TX
Practice address
212 Santa Fe TRL
Apt. # 2042
Irving, TX 75063-4719
Phone
(972) 697-3144
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA05074 TX Primary

Addresses

Primary practice location

212 Santa Fe TRL
Apt. # 2042
Irving, TX 75063-4719

Mailing address

212 Santa Fe TRL
Apt. # 2042
Irving, TX 75063-4719
Phone (972) 697-3144

Other identifiers 1

IdentifierTypeStateIssuer
PA05074OtherTXLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070608000109 TX Practitioner - Physician Assistant 7810095205 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Express Clinics Network PLLCGroup PAC ID 3274832100, 3 clinicians

Practice addresses (Care Compare)

1212 N Josey LN
Suite 110
Carrollton, TX 75006-6103
Phone (469) 294-1402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
HP Health & Wellness PLLC PastSince Aug 1, 2020 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDJFAD/Endpoint/JDJFAD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228780800000",
    "number": "1396808333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 SANTA FE TRL",
            "address_2": "APT. # 2042",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750634719",
            "telephone_number": "972-697-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 SANTA FE TRL",
            "address_2": "APT. # 2042",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750634719",
            "telephone_number": "972-697-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOMBERG",
        "first_name": "LORI",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA05074",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.