Individual provider Active NPI

Lori O'Connor, ARNP

  • Adult Health Nurse Practitioner
  • Towson, MD
National Provider Identifier
1609847177
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R149272 Issued in MD
Practice address
7801 York Rd Ste 102
Towson, MD 21204-7447
Phone
(410) 769-4920
NPI assigned
Jan 31, 2006
Last updated
May 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9382117 FL
Adult Health Nurse Practitioner 363LA2200X R149272 MD Primary

Addresses

Primary practice location

7801 York Rd Ste 102
Towson, MD 21204-7447

Mailing address

875 Military TRL
Suite 200
Jupiter, FL 33458-5700
Phone (561) 746-2411

Other practice location 1

875 Military Trl
Suite 200
Jupiter, FL 33458-5700
Phone (561) 746-2411

Other identifiers 1

IdentifierTypeStateIssuer
895L0365OtherMEDICARE PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20061013000550 MD Practitioner - Nurse Practitioner 2668478629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

7801 York Rd
Suite 102
Towson, MD 21204-7447
Phone (410) 769-4920

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9382117FLMDAdult Health Nurse Practitioner
R149272MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince May 11, 2022 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince May 11, 2022 Accepting new patients
Towson Medical Associates, LLC Past Accepting new patients
St. Joseph Physician Enterprise Past Accepting new patients

Locations

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

7801 York Rd
Ste 102
Towson, MD 21204
Phone (410) 769-4920

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1609847177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 MILITARY TRL",
            "address_2": "SUITE 200",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585700",
            "telephone_number": "561-746-2411",
            "fax_number": "561-746-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 YORK RD STE 102",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047447",
            "telephone_number": "410-769-4920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 Military Trl",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334585700",
            "country_code": "US",
            "telephone_number": "561-746-2411",
            "fax_number": "561-746-3770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "LORI",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9382117",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R149272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "895L0365",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.