Active NPI
Lori K Witmer, APRN/BC, FNP
- Family Nurse Practitioner
- Memphis, TN
National Provider Identifier
1659307247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN0000007939
- Practice address
- 969 Frayser Blvd
Community Family Medical
Memphis, TN 38127-5977 - Phone
- (901) 701-2540
- Fax
- (901) 260-8449
- NPI assigned
- Jun 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN0000124957 | TN | |
| Family Nurse Practitioner | 363LF0000X | APN0000007939 | TN | Primary |
| Family Nurse Practitioner | 363LF0000X | A003937 | AR |
Addresses
Primary practice location
969 Frayser Blvd
Community Family Medical
Memphis, TN 38127-5977
Mailing address
2595 Central Ave
Memphis, TN 38104-5905
Phone (901) 260-8500
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 367978 | Other | ANCC | |
| A003937 | Other | AR | APRN, FNP |
| RN0000124957 | Other | TN | RN LICENSE |
| 3772 | Other | AR | CERTIFICATE OF PRESCRIPTIVE AUTHORITY |
| APN0000007939 | Other | TN | APN LICENSE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000124957 | TN | MD | Registered Nurse |
| A003937 | AR | MD | Family Nurse Practitioner |
| APN0000007939 | TN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427673600000",
"number": "1659307247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2595 CENTRAL AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381045905",
"telephone_number": "901-260-8500",
"fax_number": "901-260-8598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "969 FRAYSER BLVD",
"address_2": "COMMUNITY FAMILY MEDICAL",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381275977",
"telephone_number": "901-701-2540",
"fax_number": "901-260-8449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITMER",
"first_name": "LORI",
"middle_name": "K",
"credential": "APRN/BC, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-24",
"last_updated": "2015-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "RN0000124957",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN0000007939",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "A003937",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANCC",
"identifier": "367978",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN, FNP",
"identifier": "A003937",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "RN0000124957",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFICATE OF PRESCRIPTIVE AUTHORITY",
"identifier": "3772",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APN LICENSE",
"identifier": "APN0000007939",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.