Individual provider Active NPI

Alexandra Gillespy Lorentsen, MD

  • Pediatrics Physician
  • Apex, NC
National Provider Identifier
1851880371
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2021-01141 Issued in NC
Practice address
Apex Pediatric Center
1021 W. Williams Street, Ste. 105
Apex, NC 27502
Phone
(919) 290-1090
Fax
(919) 290-1086
NPI assigned
May 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2021-01141 NC Primary

Addresses

Primary practice location

Apex Pediatric Center
1021 W. Williams Street, Ste. 105
Apex, NC 27502

Mailing address

Cary Pediatric Center
1001 Cresent Green Dr
Cary, NC 27518
Phone (919) 467-3211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180619001163 NC Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 0840545695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2021-01141NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cary Pediatric Center PA Pediatrics PastSince Jun 2, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alorentsen169309@directhisp.wakemed.org

Organizations & group practices 1

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": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1851880371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARY PEDIATRIC CENTER",
            "address_2": "1001 CRESENT GREEN DR",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27518",
            "telephone_number": "919-467-3211",
            "fax_number": "919-467-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "APEX PEDIATRIC CENTER",
            "address_2": "1021 W. WILLIAMS STREET, STE. 105",
            "city": "APEX",
            "state": "NC",
            "postal_code": "27502",
            "telephone_number": "919-290-1090",
            "fax_number": "919-290-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENTSEN",
        "first_name": "ALEXANDRA",
        "middle_name": "GILLESPY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2021-01141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

Verify at the official NPI Registry.