Individual provider Active NPI

Felecia Lorenzen

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1619599867
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
113302 Issued in NE
Practice address
17645 Wright St Ste 300
Omaha, NE 68130-2195
Phone
(402) 332-7664
NPI assigned
May 11, 2020
Last updated
Jul 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
256884AZMDFamily Nurse Practitioner
C-APN.0002706-C-NCOMDFamily Nurse Practitioner
GAA-NP000211GAMDFamily Nurse Practitioner
A157505IAMDFamily Nurse Practitioner
71010907AINMDFamily Nurse Practitioner
53-80097-112KSMDFamily Nurse Practitioner
3016026KYMDFamily Nurse Practitioner
CNP211043MEMDFamily Nurse Practitioner
4704371131MIMDFamily Nurse Practitioner
2021026890MOMDFamily Nurse Practitioner
R50371NDMDFamily Nurse Practitioner
113302NEMDFamily Nurse Practitioner
0028828OHMDFamily Nurse Practitioner
29261TNMDFamily 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.

Verify at the official NPI Registry.