Lori Ann Moreno Apn LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209009279 Issued in IL

Legal business name

LORI ANN MORENO APN LLC

Practice address

60 Revere Dr Ste 100
Northbrook, IL 60062-1590

Phone

(224) 306-1879

NPI assigned

Apr 13, 2015

Last updated

Apr 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lori Ann Moreno, PMHNP-BC, APNNPI 1811267594

Title

Advanced Practice Nurse

Phone

(224) 306-1879

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lori Ann Mendoza Moreno, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Northbrook, IL
  • NPI 1811267594
  Authorized official Same address or phone

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1407242811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 N EMERSON ST",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600562104",
            "telephone_number": "224-770-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 REVERE DR STE 100",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621590",
            "telephone_number": "224-306-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI ANN MORENO APN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "LORI ANN",
        "authorized_official_title_or_position": "ADVANCED PRACTICE NURSE",
        "authorized_official_telephone_number": "224-306-1879",
        "authorized_official_credential": "PMHNP-BC, APN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209009279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Emily Loftus
• Emily Marie Long, LSW
• Shireen Long, APRN, DNP
• Howard I. Lopata, M.D.
• Lori Ann M Moreno Apn LLC
• Teresa Lorman
• Jenna Catherine Losch
• Michael Losoff, PH.D.
• Paul Losoff, PSY.D.
• Rachel Cohen Losoff, PH.D., LCP, NCPS

• Psychiatric/Mental Health Nurse Practitioner in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.