Individual provider Active NPI

Lori Brown-Halbert, FNP

  • Family Nurse Practitioner
  • Poughkeepsie, NY
National Provider Identifier
1669466389
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
488777 Issued in NY
Practice address
243 North Rd Ste 304
Poughkeepsie, NY 12601-1173
Phone
(845) 471-9410
Fax
(845) 471-7943
NPI assigned
Sep 8, 2005
Last updated
Mar 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 488777 NY Primary

Addresses

Primary practice location

243 North Rd Ste 304
Poughkeepsie, NY 12601-1173

Mailing address

111 Clock Tower CMNS Ste 303
Brewster, NY 10509-4055
Phone (845) 592-4915

Other identifiers 2

IdentifierTypeStateIssuer
02279418MedicaidNY
A400213657OtherNYMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20101206001200 NY Practitioner - Nurse Practitioner 9335336155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

243 N Rd
Suite 304
Poughkeepsie, NY 12601-1173
Phone (845) 471-9410

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
488777NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Group of the Hudson Valley P.C. CurrentSince Feb 4, 2019 Accepting new patients
Premier Medical Group of the Hudson Valley, P.C. CurrentSince Feb 4, 2019 Accepting new patients

Locations

111 Clock Tower Cmns
Brewster, NY 10509
Phone (845) 592-4915

111 Clock Tower Cmns
#22
Brewster, NY 10509

111 Clock Tower Cmns
Ste 303
Brewster, NY 10509

400 Westage Business Ctr Dr
Ste 205
Fishkill, NY 12524
Phone (845) 231-0321

243 North Rd
Ste 101
Poughkeepsie, NY 12601
Phone (845) 471-9410

243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251

Interoperability endpoints

  • Direct secure messaging: lbrown-halbert@premiermedicalhv.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1669466389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CLOCK TOWER CMNS STE 303",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094055",
            "telephone_number": "845-592-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 NORTH RD STE 304",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011173",
            "telephone_number": "845-471-9410",
            "fax_number": "845-471-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-HALBERT",
        "first_name": "LORI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "488777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02279418",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "A400213657",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.