Individual provider Active NPI

Lorna Ophelia Callender, RN REGISTERED NURSE

  • Registered Nurse
  • Peoria, AZ
National Provider Identifier
1487791257
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN100571 Issued in AZ
Practice address
20408 N 90TH LN
Peoria, AZ 85382-6452
Phone
(623) 561-6139
Fax
(623) 376-9219
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN100571 AZ Primary
Registered Nurse 163W00000X RN462145 CA

Addresses

Primary practice location

20408 N 90TH LN
Peoria, AZ 85382-6452

Mailing address

20408 N 90TH Lane
Peoria, AZ 85382-6452
Phone (623) 561-6139

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN100571AZMDRegistered Nurse
RN462145CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487791257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20408 N 90TH LANE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853826452",
            "telephone_number": "623-561-6139",
            "fax_number": "623-376-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20408 N 90TH LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853826452",
            "telephone_number": "623-561-6139",
            "fax_number": "623-376-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLENDER",
        "first_name": "LORNA",
        "middle_name": "OPHELIA",
        "name_prefix": "Ms.",
        "credential": "RN REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN100571",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN462145",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.