Lori A. Goehring

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R 141530-6 Issued in MN

Practice address

15051 Galaxie Ave
Apple Valley, MN 55124-6987

Phone

(651) 428-6838

NPI assigned

Nov 2, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lori A. Carlson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1578863916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15051 GALAXIE AVE",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246987",
            "telephone_number": "651-428-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15051 GALAXIE AVE",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246987",
            "telephone_number": "651-428-6838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 County 42 W",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "55337",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOEHRING",
        "first_name": "LORI",
        "middle_name": "A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-02",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R 141530-6",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578863916",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "CARLSON",
            "middle_name": "A.",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michele T Glood, PA C
• Kimberly S Glynn
• Godia Health Care Services Inc.
• Godia Healthcare Services, Inc.
• Shannon Marie Goecke-Watson, PSYD, LP
• Golden Oaks Home Care LLC
• Alejandro Gomez
• Johanna Evelyn Goossen, LGSW
• Grand St Paul CVS LLC (CVS Pharmacy # 00663)
• Grand St Paul CVS LLC (CVS Pharmacy #16176)

• Family Nurse Practitioner in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.