Individual provider Active NPI

Lora Cole, NP

  • Family Nurse Practitioner
  • Hagerstown, MD
National Provider Identifier
1639654007
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R223900 Issued in MD
Practice address
1260 Maryland Ave Ste 114
Hagerstown, MD 21740-7248
Phone
(301) 900-5313
Fax
(301) 235-1590
NPI assigned
Oct 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 85447 WV
Registered Nurse 163W00000X R223900 MD
Family Nurse Practitioner 363LF0000X 107021 WV
Family Nurse Practitioner 363LF0000X R223900 MD Primary

Addresses

Primary practice location

1260 Maryland Ave Ste 114
Hagerstown, MD 21740-7248

Mailing address

PO Box 602
Williamsport, MD 21795-0602
Phone (301) 900-5313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20190417001985 MD Practitioner - Nurse Practitioner 6204177314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1260 Maryland Ave
Suite 114
Hagerstown, MD 21740-7248
Phone (301) 900-5313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
85447WVMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Living Waters Family Medicine LLC CurrentSince Jan 12, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

339 E Antietam St
Ste 1A
Hagerstown, MD 21740

1260 Maryland Ave
Ste 114
Hagerstown, MD 21740
Phone (301) 900-5313

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1639654007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602",
            "city": "WILLIAMSPORT",
            "state": "MD",
            "postal_code": "217950602",
            "telephone_number": "301-900-5313",
            "fax_number": "301-235-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 MARYLAND AVE STE 114",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217407248",
            "telephone_number": "301-900-5313",
            "fax_number": "301-235-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "LORA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "85447",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R223900",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "107021",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R223900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.