Individual provider Active NPI

Lori Julia Krayer, FNP

  • Family Nurse Practitioner
  • Grants Pass, OR
National Provider Identifier
1922080357
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201905480NP-PP Issued in OR
Practice address
1545 Harbeck Rd
Grants Pass, OR 97527-5605
Phone
(541) 476-2373
NPI assigned
Nov 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 201801833RN OR
Family Nurse Practitioner 363LF0000X 201905480NP-PP OR Primary

Addresses

Primary practice location

1545 Harbeck Rd
Grants Pass, OR 97527-5605

Mailing address

1215 SW G St
Grants Pass, OR 97526-2544
Phone (541) 476-2373

Other practice location 1

250 Wood Road
Naval Health Clinic US Naval Academy
Anapolis, MD 21402-5050
Phone (410) 293-1218

Other names 1

  • Lori Julia Krayer Evans Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150102000276 DC Practitioner - Nurse Practitioner 4981927795 Reassigns benefits to 1 organization
I20150127001782 VA Practitioner - Nurse Practitioner 4981927795 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
201801833RNORMDRegistered Nurse
201905480NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Richmond Medical Group PLLC CurrentSince Nov 5, 2014 Accepting new patients
Mary Washington Hospital Inc. CurrentSince Jun 24, 2019 Accepting new patients
Mary Washington Hospital, Inc. CurrentSince Jun 24, 2019 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince Nov 5, 2014 Accepting new patients
Options for Southern Oregon Past Accepting new patients

Locations

6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

Organizations & group practices 5

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1922080357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 SW G ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262544",
            "telephone_number": "541-476-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 HARBECK RD",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275605",
            "telephone_number": "541-476-2373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Wood Road",
            "address_2": "Naval Health Clinic US Naval Academy",
            "address_purpose": "LOCATION",
            "city": "Anapolis",
            "state": "MD",
            "postal_code": "214025050",
            "country_code": "US",
            "telephone_number": "410-293-1218",
            "fax_number": "410-293-4801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAYER",
        "first_name": "LORI",
        "middle_name": "JULIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201801833RN",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201905480NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "KRAYER EVANS",
            "middle_name": "JULIA",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grants Pass, OR

Sources for this page

Verify at the official NPI Registry.