Active NPI
Lorena Marie Williams, L.M.P
- Community Health Worker
- Spokane, WA
National Provider Identifier
1609055805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- MA00024455
- Practice address
- 515 W Francis Ave
Spokane, WA 99205-6413 - Phone
- (509) 326-5762
- Fax
- (509) 327-2198
- NPI assigned
- Oct 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | MA00024455 | WA | Primary |
Addresses
Primary practice location
515 W Francis Ave
Spokane, WA 99205-6413
Mailing address
1735 E Broad Ave
Spokane, WA 99207-4208
Phone (509) 487-1276
Other names 1
- Lorena Marie Stock
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA00024455 | WA | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193184000000",
"number": "1609055805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 E BROAD AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992074208",
"telephone_number": "509-487-1276",
"fax_number": "509-327-2198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 W FRANCIS AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992056413",
"telephone_number": "509-326-5762",
"fax_number": "509-327-2198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LORENA",
"middle_name": "MARIE",
"credential": "L.M.P",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-24",
"last_updated": "2007-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "WA",
"license": "MA00024455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LORENA",
"last_name": "STOCK",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.