Active NPI
Lori Ann Warren, APRN
- Family Nurse Practitioner
- Merritt Island, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9185417
- 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, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437416120 | Other | FL | NPI |
Other names 1
- Lori Ann Lundeen Bitterman Holladaywilcox
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hand in Hand Healthcare PLLC | Current | Accepting new patients | |
| Practitioners in Motion PLLC | Current | Accepting new patients | |
| Cano Health, LLC | Current | Accepting new patients | |
| Space Coast Internal Medicine & Geriatric LLC | Past | 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.
-
- Primary Care Nurse Practitioner
- Merritt Island, FL
- NPI 1194500447
-
dba Cano Health, Comfort Health, Comfort Health Medical Center
- Multi-Specialty Clinic/Center
- Pembroke Pines, FL
- NPI 1689901688
-
- Primary Care Clinic/Center
- West Melbourne, FL
- NPI 1447637582
-
- Internal Medicine Physician
- Cocoa, FL
- NPI 1942118567
-
dba Space Coast Internal Medicine
- Internal Medicine Physician
- Cocoa, FL
- NPI 1649383720
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
dba First Flight
- Air Ambulance
- Melbourne, FL
- NPI 1235312281
Hospital
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
dba Parrish Medical Center
- General Acute Care Hospital
- Titusville, FL
- NPI 1053424648
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.