Individual provider Active NPI

Lorraine M Wonner, CRNP

  • Family Nurse Practitioner
  • Lisbon, OH
National Provider Identifier
1518269661
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11958 Issued in OH
Practice address
7880 Lincole PL
Lisbon, OH 44432-8322
Phone
(330) 424-5686
Fax
(330) 424-4012
NPI assigned
Nov 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11958 OH Primary

Addresses

Primary practice location

7880 Lincole PL
Lisbon, OH 44432-8322

Mailing address

7880 Lincole PL
Lisbon, OH 44432-8322
Phone (330) 424-5686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20110906000135 OH Practitioner - Nurse Practitioner 6204006083 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11958OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Action Agency of Columbiana County Inc CurrentSince Jul 5, 2011 Accepting new patients
Community Action Agency of Columbiana County Inc CurrentSince Jul 5, 2011 Accepting new patients

Locations

16687 Saint Clair Ave
East Liverpool, OH 43920
Phone (330) 386-1108

7880 Lincole Pl
Lisbon, OH 44432
Phone (330) 424-5686

Organizations & group practices 2

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": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1518269661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7880 LINCOLE PL",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444328322",
            "telephone_number": "330-424-5686",
            "fax_number": "330-424-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7880 LINCOLE PL",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444328322",
            "telephone_number": "330-424-5686",
            "fax_number": "330-424-4012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONNER",
        "first_name": "LORRAINE",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-23",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "11958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisbon, OH

Sources for this page

Verify at the official NPI Registry.