Individual provider Active NPI

Lori Linn Dettmer, ARNP

  • Occupational Health Nurse Practitioner
  • Cedar Falls, IA
National Provider Identifier
1699071027
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Nurse PractitionerTaxonomy code 363LX0106X
License
A086955 Issued in IA
Practice address
7024 Nordic Dr
Cedar Falls, IA 50613-6309
Phone
(319) 266-3127
NPI assigned
Feb 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Nurse Practitioner 363LX0106X A086955 IA Primary

Addresses

Primary practice location

7024 Nordic Dr
Cedar Falls, IA 50613-6309

Mailing address

7024 Nordic Dr
Cedar Falls, IA 50613-6309
Phone (319) 266-3127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20111017000266 IA Practitioner - Nurse Practitioner 0941472971 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Allen Memorial Hospital Corporation Current Accepting new patients
Allen Memorial Hospital Corporation CurrentSince Dec 6, 2021 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

7024 Nordic Dr
Cedar Falls, IA 50613
Phone (319) 266-3127

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

Interoperability endpoints

  • Direct secure messaging: ldettmer850898@direct.unitypoint.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1699071027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7024 NORDIC DR",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506136309",
            "telephone_number": "319-266-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7024 NORDIC DR",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506136309",
            "telephone_number": "319-266-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETTMER",
        "first_name": "LORI",
        "middle_name": "LINN",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-02",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "IA",
            "license": "A086955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

Verify at the official NPI Registry.