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

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, APN

Title

Advanced Practice Nurse

Phone

(224) 306-1879

Specialties & licenses 1

Addresses

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

• All providers in Northbrook, IL
• 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.