Individual provider Active NPI

Lori Ann Warren, APRN

  • Family Nurse Practitioner
  • Merritt Island, FL
National Provider Identifier
1437416120
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9185417 Issued in FL
Practice address
775 E Merritt Island Cswy Ste 115
Merritt Island, FL 32952-3311
Phone
(321) 349-0642
Fax
(321) 349-0643
NPI assigned
Apr 18, 2012
Last updated
Oct 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9185417 FL
Family Nurse Practitioner 363LF0000X ARNP9185417 FL Primary

Addresses

Primary practice location

775 E Merritt Island Cswy Ste 115
Merritt Island, FL 32952-3311

Mailing address

775 E Merritt Island Cswy Ste 115
Merritt Island, FL 32952-3311
Phone (321) 349-0642

Other identifiers 1

IdentifierTypeStateIssuer
1437416120OtherFLNPI

Other names 1

  • Lori Ann Lundeen Bitterman Holladaywilcox Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20121101000621 FL Practitioner - Nurse Practitioner 6608026471 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hand in Hand Healthcare PLLCGroup PAC ID 7113379439, 2 clinicians

Practice addresses (Care Compare)

775 E Merritt Island Cswy
Suite 115
Merritt Island, FL 32952-3311
Phone (321) 349-0642

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hand in Hand Healthcare PLLC CurrentSince Jul 14, 2023 Accepting new patients
Practitioners in Motion PLLC CurrentSince Nov 18, 2018 Accepting new patients
Cano Health, LLC CurrentSince Feb 6, 2023 Accepting new patients
Space Coast Internal Medicine & Geriatric LLC PastSince Feb 18, 2002 Accepting new patients
Soni Family Practice, PLLC Past Accepting new patients

Locations

1507 N John Young Pkwy
Kissimmee, FL 34741
Phone (321) 402-7829

9725 NW 117th Ave
Ste 200
Medley, FL 33178
Phone 9545149360 ext. 8515

1785 Waverly Pl
Ste A
Melbourne, FL 32901
Phone (321) 216-2288

775 E Merritt Island Cswy
Ste 115
Merritt Island, FL 32952
Phone (321) 349-0642

470 Malabar Rd SE
Unit 101
Palm Bay, FL 32907
Phone (321) 733-2966

680 N University Dr
Pembroke Pines, FL 33024
Phone (954) 538-6868

2263 W New Haven Ave
#350
West Melbourne, FL 32904
Phone (321) 216-2288

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1437416120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 E MERRITT ISLAND CSWY STE 115",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523311",
            "telephone_number": "321-349-0642",
            "fax_number": "321-586-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 E MERRITT ISLAND CSWY STE 115",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523311",
            "telephone_number": "321-349-0642",
            "fax_number": "321-349-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "LORI",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-18",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9185417",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9185417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1437416120",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "LUNDEEN BITTERMAN HOLLADAYWILCOX",
            "middle_name": "ANN",
            "credential": "ARNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Merritt Island, FL

Sources for this page

Verify at the official NPI Registry.