Individual provider Active NPI

Lori M. O'Grady, NP

  • Nurse Practitioner
  • Wheaton, IL
National Provider Identifier
1487959300
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277001311 Issued in IL
Practice address
122 N Wheaton Ave Unit 1072
Wheaton, IL 60187-6492
Phone
(630) 344-9756
Fax
(630) 348-7421
NPI assigned
Jan 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 277001311 IL
Nurse Practitioner 363L00000X 277001311 IL Primary

Addresses

Primary practice location

122 N Wheaton Ave Unit 1072
Wheaton, IL 60187-6492

Mailing address

122 N Wheaton Ave Unit 1072
Wheaton, IL 60187-6492
Phone (630) 344-9756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20190205000293 IL Practitioner - Nurse Practitioner 9537327408

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lori WHNP, LLC Nurse Practitioner CurrentSince Jan 12, 2025 Accepting new patients

Locations

122 N Wheaton Ave
Unit 1072
Wheaton, IL 60187
Phone (630) 344-9756

Interoperability endpoints

  • Direct secure messaging: lori.ogrady@org257.direct.charmhealth.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1487959300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N WHEATON AVE UNIT 1072",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601876492",
            "telephone_number": "630-344-9756",
            "fax_number": "630-348-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N WHEATON AVE UNIT 1072",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601876492",
            "telephone_number": "630-344-9756",
            "fax_number": "630-348-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'GRADY",
        "first_name": "LORI",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-25",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "277001311",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277001311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.