Active NPI
Lorrie A. Pastorello
- Registered Nurse First Assistant
- Oklahoma City, OK
National Provider Identifier
1841506581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- 0086013
- Practice address
- 9600 Broadway Ext
Oklahoma City, OK 73114-7408 - Phone
- (405) 486-2100
- NPI assigned
- Aug 18, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 0086013 | OK | Primary |
Addresses
Primary practice location
9600 Broadway Ext
Oklahoma City, OK 73114-7408
Mailing address
9600 Broadway Ext
Oklahoma City, OK 73114-7408
Other names 1
- Lorrie A. Custard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0086013 | OK | MD | Registered Nurse First Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282089600000",
"number": "1841506581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 BROADWAY EXT",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731147408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 BROADWAY EXT",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731147408",
"telephone_number": "405-486-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASTORELLO",
"first_name": "LORRIE",
"middle_name": "A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-18",
"last_updated": "2010-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "OK",
"license": "0086013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LORRIE",
"last_name": "CUSTARD",
"middle_name": "A.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.