Individual provider Active NPI

Cory Lord, ARNP

  • Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1619007002
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP2962462 Issued in FL
Practice address
130 Pablo St
Lakeland, FL 33803-3818
Phone
(863) 284-5941
Fax
(863) 284-5199
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X ARNP2962462 FL
Nurse Practitioner 363L00000X ARNP2962462 FL Primary

Addresses

Primary practice location

130 Pablo St
Lakeland, FL 33803-3818

Mailing address

1225 Havendale Blvd NW
Apt 338
Winter Haven, FL 33881-1393
Phone (863) 268-2921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070411000053 FL Practitioner - Nurse Practitioner 5193820769 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Physicians Team LLC CurrentSince Apr 1, 2018 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Physicians Team, LLC 5 clinicians
Legacy Healthcare Services Inc 3,431 clinicians

Practice addresses (Care Compare)

1225 Havendale Blvd NW
Winter Haven, FL 33881-1349
Phone (863) 298-6717

17470 Brookside Trace CT
Tampa, FL 33647-6201
Phone (813) 443-5042

Hospital & facility affiliations

  • Vitalcaring Group Home health agency, Tampa, FL, CCN 109761
  • Pinnacle Home Care Home health agency, Winter Haven, FL, CCN 108262
  • Southwest Florida Home Care Inc Home health agency, Tampa, FL, CCN 687063
  • Empower Home Care Home health agency, Sun City Center, FL, CCN 687110
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Bridgewalk on Harden Health and Rehabilitation, LL Nursing home, Lakeland, FL, CCN 106138

Merit-based Incentive Payment System (MIPS)

Final score
79.37 of 100Reported as group
Quality
80.73
Improvement activities
40
Cost
23.58

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1619007002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 HAVENDALE BLVD NW",
            "address_2": "APT 338",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338811393",
            "telephone_number": "863-268-2921",
            "fax_number": "863-268-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PABLO ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338033818",
            "telephone_number": "863-284-5941",
            "fax_number": "863-284-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORD",
        "first_name": "CORY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "ARNP2962462",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2962462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.