Lori A Fordham-Bass, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP2151952 Issued in FL

Practice address

1905 Clint Moore Rd
Suite 215
Boca Raton, FL 33496-2658

Phone

(561) 989-9002

Fax

(561) 994-9135

NPI assigned

Jun 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Specialty

Nurse Practitioner

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sean Arvindh Sukal MD PHD PAGroup PAC ID 5193862381, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.06 of 100Reported as group

Quality

94.12

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Sean Arvindh Sukal, M.D., PH.D., P.a.

  • MOHS-Micrographic Surgery Physician
  • Boca Raton, FL
  • NPI 1770739203
  Medicare reassignment Care Compare group NPD
• Peter G Ballas II MD PA

  • Specialist
  • Boca Raton, FL
  • NPI 1992904338
  NPD (past)

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659577526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 CLINT MOORE RD",
            "address_2": "SUITE 215",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962658",
            "telephone_number": "561-989-9002",
            "fax_number": "561-994-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CLINT MOORE RD",
            "address_2": "SUITE 215",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962658",
            "telephone_number": "561-989-9002",
            "fax_number": "561-994-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORDHAM-BASS",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2151952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foodtrition Life LLC
• Foot Solutions Inc. (Foot Solutions Boca Raton)
• For Eyes Optical Co. of Coconut Grove
• For Eyes Optical of Coconut Grove (For Eyes)
• David Giacinto Forcione, M.D.
• Michelle Hope Foreman
• Liliana Maria Forero
• Forevercare Elderly Support LLC
• Amy Miriam Forleiter, PA-C
• Gavriel Forman

• Nurse Practitioner in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.