Individual provider Active NPI

Linda Lor, NP-C

  • Family Nurse Practitioner
  • Woodbury, MN
National Provider Identifier
1407401466
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6789 Issued in MN
Practice address
1795 Radio Dr Ste D
Woodbury, MN 55125-9457
Phone
(651) 696-5550
NPI assigned
Aug 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6789 MN Primary

Addresses

Primary practice location

1795 Radio Dr Ste D
Woodbury, MN 55125-9457

Mailing address

2624 Fremont Ave E
Maplewood, MN 55119-4125
Phone (414) 628-5705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210619000042 MN Practitioner - Nurse Practitioner 2769811702 Reassigns benefits to 2 organizations
I20260320002049 CA Practitioner - Nurse Practitioner 2769811702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City and County of San FranciscoGroup PAC ID 1658280748, 368 clinicians
Hennepin CountyGroup PAC ID 7911892849, 132 clinicians

Practice addresses (Care Compare)

1490 Mason St
San Francisco, CA 94133-4222
Phone (415) 364-7600

525 Portland Ave
Minneapolis, MN 55415-1569

525 Portland Ave S MC
Minneapolis, MN 55415-1569

614 S 3Rd St
Minneapolis, MN 55415-1104
Phone (612) 348-5553

Hospital & facility affiliations

  • Zuckerberg San Francisco General Hosp & Trauma Ctr Hospital, San Francisco, CA, CCN 050228
  • Hennepin County Medical Center Hospital, Minneapolis, MN, CCN 240004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6789MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Minnesota, North Dakota, South Dakota CurrentSince May 1, 2021 Accepting new patients
Hennepin County CurrentSince Mar 14, 2022 Accepting new patients
Hennepin County CurrentSince Mar 14, 2022 Accepting new patients
Hennepin County Current Accepting new patients
Planned Parenthood Minnesota, North Dakota, South Dakota PastSince Aug 11, 2019 Accepting new patients

Locations

525 Portland Ave
Minneapolis, MN 55415
Phone (612) 348-8824

671 Vandalia St
Saint Paul, MN 55114
Phone (651) 696-5674

1795 Radio Dr
Ste D
Woodbury, MN 55125
Phone (651) 696-5550

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1407401466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 FREMONT AVE E",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551194125",
            "telephone_number": "414-628-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 RADIO DR STE D",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551259457",
            "telephone_number": "651-696-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOR",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "6789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

Verify at the official NPI Registry.