Active NPI
Lori Dzera
- Gerontology Registered Nurse
- Sarasota, FL
National Provider Identifier
1427501543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Registered Nurse
- License
- A479962-1
- Practice address
- 5448 Avenida del Mare
Sarasota, FL 34242-1913 - Phone
- (315) 396-8312
- NPI assigned
- Jul 25, 2016
- Last updated
- Jul 25, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Registered Nurse | 163WG0600X | A479962-1 | NY | Primary |
Addresses
Primary practice location
5448 Avenida del Mare
Sarasota, FL 34242-1913
Mailing address
5448 Avenida del Mare
Sarasota, FL 34242-1913
Phone (315) 396-8312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A479962-1 | NY | MD | Gerontology Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469404800000",
"number": "1427501543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5448 AVENIDA DEL MARE",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342421913",
"telephone_number": "315-396-8312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5448 AVENIDA DEL MARE",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342421913",
"telephone_number": "315-396-8312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DZERA",
"first_name": "LORI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-25",
"last_updated": "2016-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": "NY",
"license": "A479962-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
- Dynamic Dental Health Associates of Florida, PA (Dynamic Dental Smiles)
- Dynamic Dental Health Associates of Florida, PA (Waterside Dental)
- Dynamic Wound Care of Florida PA
- Dysphagia Management Systems, LLC
- Dysphagia Management Systems, LLC
- Kristen Ashley Dzikas, OTR/L, CSRS
- E-Z Medical Equipment LLC
- Scott Alan Eader, D.O., M.P.H.
- Beverly Eadie, DO
- Monica Rose Eager, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.