Active NPI
Lorie Anderson
- Driver
- Port Arthur, TX
National Provider Identifier
1487065439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 4748 Redbird St
Port Arthur, TX 77642-1870 - Phone
- (409) 332-1772
- NPI assigned
- May 13, 2014
- Last updated
- May 13, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | NU | ||
| Contractor | 171W00000X | 101000100 | TX | |
| Driver | 172A00000X | NU | Primary |
Addresses
Primary practice location
4748 Redbird St
Port Arthur, TX 77642-1870
Mailing address
4748 Redbird St
Port Arthur, TX 77642-1870
Phone (409) 332-1772
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 |
|---|---|---|---|
| 101000100 | TX | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399939200000",
"number": "1487065439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4748 REDBIRD ST",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776421870",
"telephone_number": "409-332-1772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4748 REDBIRD ST",
"city": "PORT ARTHUR",
"state": "TX",
"postal_code": "776421870",
"telephone_number": "409-332-1772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "LORIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-13",
"last_updated": "2014-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "TX",
"license": "101000100",
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Arthur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.