Individual provider Active NPI

Lorianna Peura

  • Registered Nurse
  • Wallace, MI
National Provider Identifier
1487050605
Registry record updated Nov 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
159947-030 Issued in WI
Practice address
W8052 N 5 LN
Wallace, MI 49893-9616
Phone
(906) 863-4045
NPI assigned
Nov 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 159947-030 WI Primary

Addresses

Primary practice location

W8052 N 5 LN
Wallace, MI 49893-9616

Mailing address

W8052 N 5 LN
Wallace, MI 49893-9616
Phone (906) 863-4045

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

LicenseStateTypeSpecialty
159947-030WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1416096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416096000000",
    "number": "1487050605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W8052 N 5 LN",
            "city": "WALLACE",
            "state": "MI",
            "postal_code": "498939616",
            "telephone_number": "906-863-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W8052 N 5 LN",
            "city": "WALLACE",
            "state": "MI",
            "postal_code": "498939616",
            "telephone_number": "906-863-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEURA",
        "first_name": "LORIANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-16",
        "last_updated": "2014-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "159947-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallace, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.