Lori S Trauntvein, FNP

Key facts

NPI

1790795102

Entity type

Individual (NPI type 1)

Primary specialty

Nurse Practitioner 363L00000X

License

3245674405 (UT)

Practice address

550 E 1400 N
#X
Logan, UT 84341-2406

Phone

(435) 792-1600

NPI assigned

Aug 8, 2006

Sex

Female

Sole proprietor

No

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.

• Ihc Health Services Inc Multi-Specialty Clinic/Center · Sandy, UT · NPI 1942325154
  Medicare reassignment NPD UT
• Ihc Health Services Inc Family Medicine Physician · Taylorsville, UT · NPI 1043340359
  NPD FAMILY MEDICINE
• Ihc Health Services, Inc. Psychiatry Physician · St George, UT · NPI 1023843844
  NPD
• Ihc Health Services Inc Family Medicine Physician · Logan, UT · NPI 1982748737
  NPD (past) FAMILY MEDICINE
• Family Health Council of Central PA Inc Women's Health Nurse Practitioner · Bellefonte, PA · NPI 1629329305
  NPD (past)
• Family Health Council of Central PA, Inc. Public Health or Welfare Agency · Bellefonte, PA · NPI 1891780870
  NPD (past)

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services Inc General Acute Care Hospital · Logan, UT · NPI 1831108497
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ihc Health Services Inc (3,948 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Health Logan Regional Hospital Hospital · Logan, UT · CCN 460015

Medicare participation

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790795102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E 1400 N",
            "address_2": "#X",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412406",
            "telephone_number": "435-792-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E 1400 N",
            "address_2": "#X",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412406",
            "telephone_number": "435-792-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUNTVEIN",
        "first_name": "LORI",
        "middle_name": "S",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "3245674405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Logan, UT · Nurse Practitioner in Utah