Individual provider Active NPI

Jessica Xan Lothrop, APRN

  • Nurse Practitioner
  • Grand Island, NE
National Provider Identifier
1497243406
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F02180179 Issued in NE
Practice address
217 E Stolley Park Rd Ste E
Grand Island, NE 68801-8206
Phone
(308) 384-7625
NPI assigned
Apr 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F02180179 NE Primary

Addresses

Primary practice location

217 E Stolley Park Rd Ste E
Grand Island, NE 68801-8206

Mailing address

217 E Stolley Park Rd Ste E
Grand Island, NE 68801-8206
Phone (308) 384-7625

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20181030000630 NE Practitioner - Nurse Practitioner 7517210149 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F02180179NEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Family Health Care Inc. CurrentSince Sep 15, 2018 Accepting new patients

Locations

217 E Stolley Park Rd
Ste E
Grand Island, NE 68801
Phone (308) 384-7625

217 E Stolley Park Rd
Grand Island, NE 68801
Phone (308) 384-7625

4503 2nd Ave
Ste 209
Kearney, NE 68847
Phone (308) 234-9140

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": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1497243406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E STOLLEY PARK RD STE E",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688018206",
            "telephone_number": "308-384-7625",
            "fax_number": "308-384-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E STOLLEY PARK RD STE E",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688018206",
            "telephone_number": "308-384-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTHROP",
        "first_name": "JESSICA",
        "middle_name": "XAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "F02180179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.