Individual provider Active NPI

Lori J. Bruehler, FNP

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1609860493
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP116442 Issued in TX
Practice address
10000 Rogers Run Road
Kohl'S Wellness Center
San Antonio, TX 78251
Phone
(210) 680-0460
NPI assigned
Sep 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP116442 TX Primary

Addresses

Primary practice location

10000 Rogers Run Road
Kohl'S Wellness Center
San Antonio, TX 78251

Mailing address

24811 White CRK
San Antonio, TX 78255-9528
Phone (210) 313-2665

Other names 1

  • Ms. Lori J. Line Former name

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
AP116442TXMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: lori.bruehler@49412312072196.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1609860493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24811 WHITE CRK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782559528",
            "telephone_number": "210-313-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 ROGERS RUN ROAD",
            "address_2": "KOHL'S WELLNESS CENTER",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "telephone_number": "210-680-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUEHLER",
        "first_name": "LORI",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP116442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "LINE",
            "middle_name": "J.",
            "prefix": "MS.",
            "credential": "RN, FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.