Individual provider Active NPI

Lauretta M Britz, FNP

  • Family Nurse Practitioner
  • Greenfield, MO
National Provider Identifier
1902901176
Registry record updated Jan 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
142361 Issued in MO
Practice address
105 N. Grand
#2
Greenfield, MO 65661-0367
Phone
(417) 637-5133
Fax
(417) 637-5124
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 142361 MO Primary

Addresses

Primary practice location

105 N. Grand
#2
Greenfield, MO 65661-0367

Mailing address

1500 N Oakland Ave
Bolivar, MO 65613-3011
Phone (417) 637-5133

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
I20100519000861 MO Practitioner - Nurse Practitioner 3779612379 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Citizens Memorial Healthcare CurrentSince Dec 31, 2009 Accepting new patients
Citizens Memorial Healthcare CurrentSince Dec 31, 2009 Accepting new patients

Locations

1500 N Oakland Ave
Bolivar, MO 65613
Phone (417) 326-6000

105 N Grand St
#2
Greenfield, MO 65661
Phone (417) 637-5133

Organizations & group practices 2

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295222400000",
    "number": "1902901176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N OAKLAND AVE",
            "city": "BOLIVAR",
            "state": "MO",
            "postal_code": "656133011",
            "telephone_number": "417-637-5133",
            "fax_number": "417-637-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N. GRAND",
            "address_2": "#2",
            "city": "GREENFIELD",
            "state": "MO",
            "postal_code": "656610367",
            "telephone_number": "417-637-5133",
            "fax_number": "417-637-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITZ",
        "first_name": "LAURETTA",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2011-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "142361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MO

Sources for this page

Verify at the official NPI Registry.