Individual provider Active NPI

Lori Blansett, NP

  • Family Medicine Physician
  • Tupelo, MS
National Provider Identifier
1851868533
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
902990 Issued in MS
Practice address
4381 S Eason Blvd Ste 202
Tupelo, MS 38801-6585
Phone
(662) 377-6610
Fax
(662) 377-6614
NPI assigned
Oct 31, 2018
Last updated
Feb 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 902990 MS Primary

Addresses

Primary practice location

4381 S Eason Blvd Ste 202
Tupelo, MS 38801-6585

Mailing address

4381 S Eason Blvd Ste 202
Tupelo, MS 38801-6585
Phone (662) 377-6610

Other identifiers 1

IdentifierTypeStateIssuer
01906093MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20181211000870 MS Practitioner - Nurse Practitioner 6204170780 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4381 S Eason Blvd
North Mississippi Regional Pain Con
Tupelo, MS 38801-6583
Phone (662) 377-5199

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center, Inc. CurrentSince Oct 11, 2018 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Jul 1, 2023 Accepting new patients
Mid-South Home Care Services, LLC CurrentSince Jul 1, 2023 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Oct 11, 2018 Accepting new patients
North Mississippi Medical Center Inc Current Accepting new patients
Amory Surgery Clinic, PLLC Past Accepting new patients

Locations

144 S Thomas St
Ste 202
Tupelo, MS 38801
Phone (662) 269-4453

4381 S Eason Blvd
Tupelo, MS 38801
Phone (662) 377-5199

4381 S Eason Blvd
Ste 101
Tupelo, MS 38801
Phone (662) 377-4054

4381 S Eason Blvd
Ste 202
Tupelo, MS 38801
Phone (662) 377-6470

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

961 S Gloster St
Tupelo, MS 38801
Phone (601) 844-9166

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

Interoperability endpoints

  • Direct secure messaging: loriblansett@nmhs.medalliesdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1851868533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4381 S EASON BLVD STE 202",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016585",
            "telephone_number": "662-377-6610",
            "fax_number": "662-377-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4381 S EASON BLVD STE 202",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016585",
            "telephone_number": "662-377-6610",
            "fax_number": "662-377-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANSETT",
        "first_name": "LORI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "902990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01906093",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.