Individual provider Active NPI

Lori Michael, RN

  • Registered Nurse
  • Schuylkill Haven, PA
National Provider Identifier
1639305394
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN310367L Issued in PA
Practice address
223 Route 61 S
Schuylkill Haven, PA 17972-9704
Phone
(570) 385-8450
Fax
(570) 385-8451
NPI assigned
Jun 8, 2009
Last updated
Jun 8, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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 RN310367L PA Primary
Licensed Practical Nurse 164W00000X RN310367L PA

Addresses

Primary practice location

223 Route 61 S
Schuylkill Haven, PA 17972-9704

Mailing address

223 Route 61 S
Schuylkill Haven, PA 17972-9704
Phone (570) 385-8450

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN310367LPAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Home Health & Support Services, Inc. Registered Nurse Past 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, 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": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244419200000",
    "number": "1639305394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 ROUTE 61 S",
            "city": "SCHUYLKILL HAVEN",
            "state": "PA",
            "postal_code": "179729704",
            "telephone_number": "570-385-8450",
            "fax_number": "570-385-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 ROUTE 61 S",
            "city": "SCHUYLKILL HAVEN",
            "state": "PA",
            "postal_code": "179729704",
            "telephone_number": "570-385-8450",
            "fax_number": "570-385-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "LORI",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2009-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN310367L",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "RN310367L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schuylkill Haven, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.