Individual provider Active NPI

Lori T Billiard, CRNP

  • Nurse Practitioner
  • Catasauqua, PA
National Provider Identifier
1790039980
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP012503 Issued in PA
Practice address
840 Walnut St Ste 2
Catasauqua, PA 18032-1018
Phone
(484) 272-2788
Fax
(484) 526-4658
NPI assigned
Nov 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP012503 PA Primary

Addresses

Primary practice location

840 Walnut St Ste 2
Catasauqua, PA 18032-1018

Mailing address

840 Walnut St Ste 2
Catasauqua, PA 18032-1018
Phone (484) 272-2788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130228000449 PA Practitioner - Nurse Practitioner 1355596172 Reassigns benefits to 3 organizations
I20201231000401 NJ Practitioner - Nurse Practitioner 1355596172

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Carbon-Schuylkill Community Hospital, Inc. Current Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Oct 31, 2016 Accepting new patients
St Luke Hospital CurrentSince Dec 9, 2013 Accepting new patients
St. Luke'S Hospital Current Accepting new patients
St Luke'S Physician Group Inc CurrentSince Dec 19, 2012 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St Luke'S Physician Group Inc CurrentSince Dec 19, 2012 Accepting new patients
St Luke'S Hospital CurrentSince Dec 9, 2013 Accepting new patients

Locations

1545 Broadway
Bethlehem, PA 18015
Phone (610) 865-6112

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

255 Front St
Hellertown, PA 18055
Phone (484) 526-5255

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

575 S 9th St
Ste 7
Lehighton, PA 18235
Phone (570) 645-1000

2092 W Penn Pike
New Ringgold, PA 17960
Phone (272) 639-5370

Organizations & group practices 8

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": "1352419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1790039980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 WALNUT ST STE 2",
            "city": "CATASAUQUA",
            "state": "PA",
            "postal_code": "180321018",
            "telephone_number": "484-272-2788",
            "fax_number": "484-526-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 WALNUT ST STE 2",
            "city": "CATASAUQUA",
            "state": "PA",
            "postal_code": "180321018",
            "telephone_number": "484-272-2788",
            "fax_number": "484-526-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLIARD",
        "first_name": "LORI",
        "middle_name": "T",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP012503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catasauqua, PA

Sources for this page

Verify at the official NPI Registry.