Active NPI
Lorie D Weldon, M.S.N., F.N.P.-C.
- Nurse Practitioner
- Tuolumne, CA
National Provider Identifier
1669416301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 14383
- Practice address
- 18880 Cherry Valley Blvd
Tuolumne, CA 95379 - Phone
- (209) 928-5400
- NPI assigned
- Jun 15, 2006
- Last updated
- Aug 31, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 14383 | CA | Primary |
| Family Nurse Practitioner | 363LF0000X | 201902420NP-PP | OR |
Addresses
Primary practice location
18880 Cherry Valley Blvd
Tuolumne, CA 95379
Mailing address
3105 Cedar Ravine Rd
Ste 201
Placerville, CA 95667-6561
Phone (530) 676-0119
Other practice location 1
1793 13th St SE
Salem, OR 97302-2541
Phone (503) 362-8385
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 91.14 of 100
- Quality
- 86.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 84.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zachary a. Cooper MD a Professional Corp | Current | Accepting new patients |
Locations
19933 Greenley Rd
Ste C
Sonora, CA 95370
Phone (209) 536-0505
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.
-
- Dermatology Physician
- Sonora, CA
- NPI 1275651630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1669416301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3105 CEDAR RAVINE RD",
"address_2": "STE 201",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956676561",
"telephone_number": "530-676-0119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18880 CHERRY VALLEY BLVD",
"city": "TUOLUMNE",
"state": "CA",
"postal_code": "95379",
"telephone_number": "209-928-5400"
}
],
"practiceLocations": [
{
"address_1": "1793 13th St SE",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973022541",
"country_code": "US",
"telephone_number": "503-362-8385",
"fax_number": "503-362-8435",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WELDON",
"first_name": "LORIE",
"middle_name": "D",
"credential": "M.S.N., F.N.P.-C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "14383",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201902420NP-PP",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tuolumne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.