Individual provider Active NPI

Lori E Parker, CNP

  • Pediatric Clinical Nurse Specialist
  • Kennett, MO
National Provider Identifier
1801224407
Registry record updated Oct 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X
License
2013037704 Issued in MO
Practice address
211 Teaco Rd
Kennett, MO 63857-3236
Phone
(573) 888-0004
Fax
(573) 888-0006
NPI assigned
Oct 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X 20130377074 MO
Pediatric Clinical Nurse Specialist 364SP0200X 2013037704 MO Primary

Addresses

Primary practice location

211 Teaco Rd
Kennett, MO 63857-3236

Mailing address

PO Box 908
Kennett, MO 63857-0908
Phone (573) 888-0004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231113002435 MO Practitioner - Nurse Practitioner 3375990344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

211 Teaco Rd
Kennett, MO 63857-3236
Phone (573) 888-0001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20130377074MOMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
McPherson Medical & Diagnostic, LLC CurrentSince Nov 1, 2023 Accepting new patients
McPherson Medical & Diagnostic, LLC Current Accepting new patients
McPherson Medical & Diagnostic, LLC CurrentSince Nov 1, 2023 Accepting new patients
Kennett Pediatrics and Adolescents Medicine LLC Past Accepting new patients
McPherson Medical & Diagnostic, LLC Past Accepting new patients
Kennett Pediatric Past Accepting new patients

Locations

211 Teaco Rd
Kennett, MO 63857
Phone (573) 888-0001

304 Teaco Rd
Ste A
Kennett, MO 63857
Phone (573) 559-3591

216 W Main St
Steele, MO 63877
Phone (573) 695-2181

216 W Main St
Ste B
Steele, MO 63877
Phone (573) 695-2181

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.

NPI Registry JSON

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381968000000",
    "number": "1801224407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 908",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638570908",
            "telephone_number": "573-888-0004",
            "fax_number": "573-888-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 TEACO RD",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638573236",
            "telephone_number": "573-888-0004",
            "fax_number": "573-888-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "LORI",
        "middle_name": "E",
        "name_prefix": "Miss",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-17",
        "last_updated": "2013-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "MO",
            "license": "20130377074",
            "primary": false
        },
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "MO",
            "license": "2013037704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett, MO

Sources for this page

Verify at the official NPI Registry.