Active NPI
Lori Shea Jean Green, N.P.
- Family Nurse Practitioner
- Corydon, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71000547A
- Practice address
- 313 Federal Dr NW Ste 130
Corydon, IN 47112-3099 - Phone
- (812) 734-3952
- NPI assigned
- Jun 20, 2006
- Last updated
- Dec 9, 2020
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3005070 | KY | |
| Family Nurse Practitioner | 363LF0000X | 71000547A | IN | Primary |
Addresses
Primary practice location
313 Federal Dr NW Ste 130
Corydon, IN 47112-3099
Mailing address
330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7906
Other practice location 1
1806 E 10th St
Jeffersonville, IN 47130-6016
Phone (812) 285-5926
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100151870 | Medicaid | KY | |
| 1017630001 | Other | IN | DMERC |
| 271288 | Other | IN | ANTHEM |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lgreen19525@bhkydirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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 Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0810
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3005070 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Clark Physician Practices, LLC | Family Medicine | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients |
Locations
11500 Highway 62
Charlestown, IN 47111
Phone (812) 256-0700
313 Federal Dr NW
Ste 130
Corydon, IN 47112
Phone (812) 225-5133
313 Federal Dr NW
Ste 200
Corydon, IN 47112
Phone (812) 738-4155
1220 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 282-2072
1806 E 10th St
Jeffersonvlle, IN 47130
Phone (812) 285-5923
207 Sparks Ave
Ste 200
Jeffersonvlle, IN 47130
Phone (812) 283-4441
207 Sparks Ave
Ste 300
Jeffersonvlle, IN 47130
Phone (812) 218-7978
207 Sparks Ave
Ste 301
Jeffersonvlle, IN 47130
Phone (812) 280-5894
1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196
13117 Eastpoint Park Blvd
Ste C
Louisville, KY 40223
Phone (502) 254-0907
3900 Kresge Way
Ste 56
Louisville, KY 40207
Phone (502) 895-7265
330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780
Interoperability endpoints
- lgreen19525@bhkydirect.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Clarksville, IN
- NPI 1083098651
Family Medicine
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1780961300
-
dba Dawson Springs Rural Health Clinic
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Floyd
- General Acute Care Hospital
- New Albany, IN
- NPI 1497798847
-
dba Baptist Health Home Care Floyd
- Home Health Agency
- New Albany, IN
- NPI 1972544955
-
- General Acute Care Hospital
- Corydon, IN
- NPI 1427165455
-
- Critical Access Hospital
- Corydon, IN
- NPI 1851378137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1740225820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 SEVEN SPRINGS WAY",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275098",
"telephone_number": "615-920-7906",
"fax_number": "615-920-8938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 FEDERAL DR NW STE 130",
"city": "CORYDON",
"state": "IN",
"postal_code": "471123099",
"telephone_number": "812-734-3952"
}
],
"practiceLocations": [
{
"address_1": "1806 E 10th St",
"address_purpose": "LOCATION",
"city": "Jeffersonville",
"state": "IN",
"postal_code": "471306016",
"country_code": "US",
"telephone_number": "812-285-5926",
"fax_number": "812-285-5927",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREEN",
"first_name": "LORI SHEA",
"middle_name": "JEAN",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-20",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "3005070",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71000547A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100151870",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "1017630001",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "271288",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lgreen19525@bhkydirect.com",
"affiliation": "N",
"address_1": "313 Federal Dr NW Ste 130",
"city": "Corydon",
"state": "IN",
"country_code": "US",
"postal_code": "471123099",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Corydon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.