Active NPI
Lori Ann Nelson, MSED, LP
- Psychologist
- Saint Cloud, MN
National Provider Identifier
1902888555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LP3099
- Practice address
- 600 25TH Ave S
Ste 109
Saint Cloud, MN 56301-4841 - Phone
- (320) 255-0343
- Fax
- (320) 654-0318
- NPI assigned
- Nov 18, 2005
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP3099 | MN | Primary |
Addresses
Primary practice location
600 25TH Ave S
Ste 109
Saint Cloud, MN 56301-4841
Mailing address
600 25TH Ave S
Ste 109
Saint Cloud, MN 56301-4841
Phone (320) 255-0343
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110216 | Other | UCARE | |
| 411768605 | Other | CERIDIAN | |
| 785325400 | Medicaid | MN | |
| 6262609 | Other | UBH MEDICA SELECT CARE | |
| 82D17NE | Other | BCBS COMP CARE | |
| 2315034 | Other | AMERICAS PPO | |
| 766591015131 | Other | PREFERRED ONE | |
| 187408 | Other | MAYO MANAGEMENT | |
| 337324 | Other | VALUE OPTIONS |
Other names 1
- Lori Ann Nelson Eggers
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 |
|---|---|---|---|
| LP3099 | MN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496793600000",
"number": "1902888555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 25TH AVE S",
"address_2": "STE 109",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563014841",
"telephone_number": "320-255-0343",
"fax_number": "320-654-0318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 25TH AVE S",
"address_2": "STE 109",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563014841",
"telephone_number": "320-255-0343",
"fax_number": "320-654-0318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "LORI",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MSED, LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2017-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "LP3099",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "110216",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERIDIAN",
"identifier": "411768605",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "785325400",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH MEDICA SELECT CARE",
"identifier": "6262609",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS COMP CARE",
"identifier": "82D17NE",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAS PPO",
"identifier": "2315034",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "766591015131",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAYO MANAGEMENT",
"identifier": "187408",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "337324",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LORI",
"last_name": "NELSON EGGERS",
"middle_name": "ANN",
"credential": "MSED, LP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.