Individual provider Active NPI

Lora Lynn Kreager, LPN

  • Licensed Practical Nurse
  • Newark, OH
National Provider Identifier
1528270428
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN102725 Issued in OH
Practice address
13126 Blue Jay Rd
Newark, OH 43056-9026
Phone
(740) 763-2347
Fax
(740) 763-0024
NPI assigned
May 4, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN102725 OH Primary

Addresses

Primary practice location

13126 Blue Jay Rd
Newark, OH 43056-9026

Mailing address

13126 Blue Jay Rd
Newark, OH 43056-9026
Phone (740) 763-2347

Other identifiers 1

IdentifierTypeStateIssuer
2218237OtherOHINDEPENDENT PROVIDER NUMB

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

LicenseStateTypeSpecialty
PN102725OHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528270428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13126 BLUE JAY RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430569026",
            "telephone_number": "740-763-2347",
            "fax_number": "740-763-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13126 BLUE JAY RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430569026",
            "telephone_number": "740-763-2347",
            "fax_number": "740-763-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREAGER",
        "first_name": "LORA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN102725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT PROVIDER NUMB",
            "identifier": "2218237",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

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.