Active NPI
Kenneth R Lods, FNP
- Family Nurse Practitioner
- Johnstown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2019084433
- Practice address
- 411 Tunnel Ave
Johnstown, PA 15905-3726 - Phone
- (814) 243-9951
- NPI assigned
- Mar 8, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2019084433 | PA | Primary |
Addresses
Primary practice location
411 Tunnel Ave
Johnstown, PA 15905-3726
Mailing address
411 Tunnel Ave
Johnstown, PA 15905-3726
Phone (814) 243-9951
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2019084433 | Other | PA | ANCC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
429 Manor Dr
Ebensburg, PA 15931-4917
Phone (814) 472-8100
Hospital & facility affiliations
- Chan Soon- Shiong Medical Center at Windber
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019084433 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Old Mission Wound Care Pennsylvania PLLC | Current | Accepting new patients | |
| Qofl Services LLC | Current | Accepting new patients | |
| Onsight Health Care LLC | Current | Accepting new patients | |
| Provider Partners Care Management LP | Current | Accepting new patients | |
| Onsight Health Care LLC | Family | Current | Accepting new patients |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097
429 Manor Dr
Ebensburg, PA 15931
Phone (814) 472-6060
2595 Interstate Dr
Ste 103
Harrisburg, PA 17110
Phone (386) 672-4222
349 Vo Tech Dr
Johnstown, PA 15904
Phone (814) 266-9702
429 S Market St
Martinsburg, PA 16662
Phone (814) 793-1430
6212 Walnut St
Philadelphia, PA 19139
Phone (215) 476-6264
322 N Shore Dr
Ste 200
Pittsburgh, PA 15212
Phone (281) 857-3677
303 Smallacombe Dr
Scranton, PA 18508
Phone (412) 508-8708
225 Matlage Way
Unit 31
Sugar Land, TX 77487
Organizations & group practices 6
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.
-
- Optometrist
- Harrisburg, PA
- NPI 1508097411
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583625600000",
"number": "1780219980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 TUNNEL AVE",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159053726",
"telephone_number": "814-243-9951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 TUNNEL AVE",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159053726",
"telephone_number": "814-243-9951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LODS",
"first_name": "KENNETH",
"middle_name": "R",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-08",
"last_updated": "2020-03-08",
"certification_date": "2020-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "2019084433",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANCC",
"identifier": "2019084433",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.