Lori Goebel, PHN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

R1023691 Issued in MN

Practice address

1805 Ford Ave N
Suite 200
Glencoe, MN 55336-1363

Phone

(320) 864-3185

NPI assigned

Feb 4, 2010

Last updated

Feb 4, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• McLeod County Public Health

  • Public Health or Welfare Agency
  • Glencoe, MN
  • NPI 1578550190
  NPD (past)

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1740512599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 FORD AVE N",
            "address_2": "SUITE 200",
            "city": "GLENCOE",
            "state": "MN",
            "postal_code": "553361363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 FORD AVE N",
            "address_2": "SUITE 200",
            "city": "GLENCOE",
            "state": "MN",
            "postal_code": "553361363",
            "telephone_number": "320-864-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOEBEL",
        "first_name": "LORI",
        "credential": "PHN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MN",
            "license": "R1023691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glencoe Regional Health Services
• Glencoe Regional Health Services
• Glencoe Regional Health Services
• Glencoe Regional Health Services
• Glencoe Regional Health Services
• Grand Meadows Senior Living
• Guardian in Home Health & Security, LLC
• Gwen Regnier DMD PLLC
• Hardy Dialysis LLC (Glencoe Dialysis)
• Jennifer Hauser, IBCLC, RLC

• Community Health Registered Nurse in Glencoe, MN
• Providers in Glencoe, MN by specialty
• Community Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.