Individual provider Active NPI

Germine Lormera

  • Nursing Home Administrator
  • Port St Lucie, FL
National Provider Identifier
1619588357
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Home AdministratorTaxonomy code 376G00000X
Practice address
1613 SW Meridian Ave
Port St Lucie, FL 34953-4300
Phone
(954) 864-9098
NPI assigned
Aug 16, 2020
Last updated
Sep 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home Administrator 376G00000X NU Primary

Addresses

Primary practice location

1613 SW Meridian Ave
Port St Lucie, FL 34953-4300

Mailing address

1613 SW Meridian Ave
Port Saint Lucie, FL 34953-4300
Phone (954) 864-9098

Other identifiers 1

IdentifierTypeStateIssuer
109954800MedicaidFL

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brightstar Assisted Living LLC Current Accepting new patients

Locations

1613 SW Meridian Ave
Port St Lucie, FL 34953
Phone (772) 408-6675

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1597536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1619588357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 SW MERIDIAN AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349534300",
            "telephone_number": "954-864-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 SW MERIDIAN AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349534300",
            "telephone_number": "954-864-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORMERA",
        "first_name": "GERMINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-16",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109954800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.