Loralynn Antin, DNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP60866427 Issued in WA

Practice address

710 S 348TH St Ste B
Federal Way, WA 98003-7042

Phone

(253) 878-5193

NPI assigned

Sep 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: lantin278622@direct.multicare.org

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.

• C & C Medical Associates, PLLC

  • Pediatrics Physician
  • Federal Way, WA
  • NPI 1104256445
  Medicare reassignment

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

{
    "created_epoch": "1537660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619222400000",
    "number": "1407330657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24233 SE 164TH ST",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278414",
            "telephone_number": "206-778-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S 348TH ST STE B",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037042",
            "telephone_number": "253-878-5193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1940 116th Ave NE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980043074",
            "country_code": "US",
            "telephone_number": "425-243-2293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTIN",
        "first_name": "LORALYNN",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-23",
        "last_updated": "2021-04-24",
        "certification_date": "2021-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60854654",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WA",
            "license": "AP60866427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angels of America Home Care LLC
• Kelly Dawn Anissipour, LMP
• Ann T Nguyen LLC
• Annexia Health Services, LLC
• Yasmeen Ansari, MD
• Chad Antonie, AGNP, ARNP-C
• Margaret Aparis, RN
• John Apostol, MD
• Apple Physical Therapy LLC
• Apple Physical Therapy, LLC

• Pediatric Nurse Practitioner in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Pediatric Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.