Active NPI
Lori L Grant, APRN, FNP-C, RD
- Family Nurse Practitioner
- Boerne, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP142181
- Practice address
- 30 Cascade Caverns Rd
Boerne, TX 78015-8308 - Phone
- (830) 816-5518
- Fax
- (830) 331-1042
- NPI assigned
- Oct 19, 2006
- Last updated
- Aug 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP142181 | TX | Primary |
| Registered Dietitian | 133V00000X | DT04039 | TX | |
| Registered Nurse | 163W00000X | 904537 | TX |
Addresses
Primary practice location
30 Cascade Caverns Rd
Boerne, TX 78015-8308
Mailing address
30 Cascade Caverns Rd
Boerne, TX 78015-8308
Phone (830) 816-5518
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134806203 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21 Spurs LN
Suite 240
San Antonio, TX 78240-1671
Phone (210) 690-0777
8221 Palisades Dr
Live Oak, TX 78233-3402
Phone (210) 272-7216
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 904537 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Izuchukwu Okpara MD, P.a. | Current | Accepting new patients | |
| Ellen W Lin MD PA | Current | Accepting new patients | |
| Aressana Health, PLLC | Current | Accepting new patients | |
| MRI Now | Current | Accepting new patients | |
| MJF Rehabilitation PA | Past | Accepting new patients | |
| Laurence Robert Bower III | Past | Accepting new patients | |
| Larouge Personal Home Care, Inc. | Past | Accepting new patients |
Locations
25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321
2500 Wilcrest Dr
Ste 300
Houston, TX 77042
Phone (213) 288-3538
21 Spurs Ln
Ste 240
San Antonio, TX 78240
Phone (210) 690-0777
255 E Sonterra Blvd
Ste 203
San Antonio, TX 78258
Phone (210) 639-6897
4835 Medical Dr
Unit 29275
San Antonio, TX 78229
8221 Palisades Dr
San Antonio, TX 78233
Phone (210) 272-7216
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Live Oak, TX
- NPI 1528930161
-
dba Advanced Spine and Pain Center
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- San Antonio, TX
- NPI 1356529598
-
dba Omni Wound Physicians Texas
- Surgery Physician
- Houston, TX
- NPI 1306531629
-
dba Central Texas Open MRI
- Radiology Clinic/Center
- New Braunfels, TX
- NPI 1841397502
-
- Physical Medicine & Rehabilitation Physician
- Kerrville, TX
- NPI 1093778805
-
- In Home Supportive Care Agency
- Baton Rouge, LA
- NPI 1982275624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724976000000",
"number": "1578645925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 CASCADE CAVERNS RD",
"city": "BOERNE",
"state": "TX",
"postal_code": "780158308",
"telephone_number": "830-816-5518",
"fax_number": "830-331-1042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 CASCADE CAVERNS RD",
"city": "BOERNE",
"state": "TX",
"postal_code": "780158308",
"telephone_number": "830-816-5518",
"fax_number": "830-331-1042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "LORI",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "APRN, FNP-C, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP142181",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT04039",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "904537",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134806203",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.