Active NPI
Felecia Lorenzen
- Family Nurse Practitioner
- Omaha, NE
National Provider Identifier
1619599867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 113302
- Practice address
- 17645 Wright St Ste 300
Omaha, NE 68130-2195 - Phone
- (402) 332-7664
- NPI assigned
- May 11, 2020
- Last updated
- Jul 21, 2021
- 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 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | C-APN.0002706-C-N | CO | |
| Family Nurse Practitioner | 363LF0000X | 4704371131 | MI | |
| Family Nurse Practitioner | 363LF0000X | 2102 | NE | |
| Family Nurse Practitioner | 363LF0000X | A157505 | IA | |
| Family Nurse Practitioner | 363LF0000X | 256884 | AZ | |
| Family Nurse Practitioner | 363LF0000X | GAA-NP000211 | GA | |
| Family Nurse Practitioner | 363LF0000X | 71010907A | IN | |
| Family Nurse Practitioner | 363LF0000X | 53-80097-112 | KS | |
| Family Nurse Practitioner | 363LF0000X | 3016026 | KY | |
| Family Nurse Practitioner | 363LF0000X | CNP211043 | ME | |
| Family Nurse Practitioner | 363LF0000X | 2021026890 | MO | |
| Family Nurse Practitioner | 363LF0000X | R50371 | ND | |
| Family Nurse Practitioner | 363LF0000X | 0028828 | OH | |
| Family Nurse Practitioner | 363LF0000X | 29261 | TN | |
| Family Nurse Practitioner | 363LF0000X | 113302 | NE | Primary |
Addresses
Primary practice location
17645 Wright St Ste 300
Omaha, NE 68130-2195
Mailing address
17645 Wright St Ste 300
Omaha, NE 68130-2195
Other practice location 1
922 N 6th St
Missouri Valley, IA 51555-1126
Phone (402) 332-7664
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 |
|---|---|---|---|
| 256884 | AZ | MD | Family Nurse Practitioner |
| C-APN.0002706-C-N | CO | MD | Family Nurse Practitioner |
| GAA-NP000211 | GA | MD | Family Nurse Practitioner |
| A157505 | IA | MD | Family Nurse Practitioner |
| 71010907A | IN | MD | Family Nurse Practitioner |
| 53-80097-112 | KS | MD | Family Nurse Practitioner |
| 3016026 | KY | MD | Family Nurse Practitioner |
| CNP211043 | ME | MD | Family Nurse Practitioner |
| 4704371131 | MI | MD | Family Nurse Practitioner |
| 2021026890 | MO | MD | Family Nurse Practitioner |
| R50371 | ND | MD | Family Nurse Practitioner |
| 113302 | NE | MD | Family Nurse Practitioner |
| 0028828 | OH | MD | Family Nurse Practitioner |
| 29261 | TN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1619599867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17645 WRIGHT ST STE 300",
"city": "OMAHA",
"state": "NE",
"postal_code": "681302195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17645 WRIGHT ST STE 300",
"city": "OMAHA",
"state": "NE",
"postal_code": "681302195",
"telephone_number": "402-332-7664"
}
],
"practiceLocations": [
{
"address_1": "922 N 6th St",
"address_purpose": "LOCATION",
"city": "Missouri Valley",
"state": "IA",
"postal_code": "515551126",
"country_code": "US",
"telephone_number": "402-332-7664",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LORENZEN",
"first_name": "FELECIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-11",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "C-APN.0002706-C-N",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704371131",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "2102",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A157505",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "256884",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "GAA-NP000211",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71010907A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "53-80097-112",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3016026",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ME",
"license": "CNP211043",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2021026890",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ND",
"license": "R50371",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "0028828",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "29261",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "113302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.