Lori Jordan Back, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11031278 Issued in FL

Practice address

5880 49TH St N Unit N-201
St Petersburg, FL 33709-2150

Phone

(727) 300-0405

NPI assigned

Feb 14, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lori.back.2@31553.direct.athenahealth.com

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.

• Dover Shores Family Practice

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1417683707
  Medicare reassignment NPD
• Heal Precisely of Northside LLC

  • General Practice Physician
  • St Petersburg, FL
  • NPI 1093433674
  Medicare reassignment NPD
• Heal Precisely of Tampa Bay LLC

  • Family Medicine Physician
  • St Petersburg, FL
  • NPI 1588348262
  Medicare reassignment NPD
• Saberi Advanced Wound Care LLC

  • Family Medicine Physician
  • St Petersburg, FL
  • NPI 1578264818
  Medicare reassignment NPD
• Primary Care Specialists of Orlando LLC

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1740559939
  NPD
• Traditions Family Medicine, LLC

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1548924236
  NPD (past)

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1639934102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 SOUTHSIDE BLVD STE 401",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165488",
            "telephone_number": "904-977-6380",
            "fax_number": "800-983-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 49TH ST N UNIT N-201",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092150",
            "telephone_number": "727-300-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACK",
        "first_name": "LORI",
        "middle_name": "JORDAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11031278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen L Babbs, P.A.
• Benjamin Babchick
• Katherine Babcock, LMT
• Bac Quality Corporation
• Back to Normal Physical Therapy, Inc.
• Charlotte Baden
• Paola Nicole Baez
• Jenny Marie Bagg, CNM
• Gregory C. Baggerly, D.O.
• Kiley Ann Baglama, LMHC

• Family Nurse Practitioner in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.