Individual provider Active NPI

Lori Ann Firestone, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cleveland, TN
National Provider Identifier
1922145283
Registry record updated Jul 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN7647 Issued in TN
Practice address
3555 Keith St NW
Suite 102
Cleveland, TN 37312-4375
Phone
(423) 728-2282
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2009

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 RN116297 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN7647 TN Primary

Addresses

Primary practice location

3555 Keith St NW
Suite 102
Cleveland, TN 37312-4375

Mailing address

3555 Keith St NW
Suite 102
Cleveland, TN 37312-4375
Phone (423) 728-2282

Other identifiers 1

IdentifierTypeStateIssuer
4186544OtherTNBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20060227000260 TN Practitioner - Nurse Practitioner 9931115185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland Behavioral Health, PLLCGroup PAC ID 4183701576, 2 clinicians

Practice addresses (Care Compare)

3555 Keith St NW
Suite 102
Cleveland, TN 37312-4375
Phone (423) 728-2282

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN116297TNMDRegistered Nurse
APN7647TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Behavioral Health, PLLC CurrentSince Jan 1, 2016 Accepting new patients
Cleveland Psychiatric Center, PC PastSince Jun 17, 2019 Accepting new patients
Robert Stetson, MD, PLLC PastSince Oct 1, 2007 Accepting new patients
Sarath B Gangavarapu MD PC Past Accepting new patients

Locations

3555 Keith St NW
Ste 102
Cleveland, TN 37312
Phone (423) 728-2282

Organizations & group practices 4

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1922145283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 KEITH ST NW",
            "address_2": "SUITE 102",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124375",
            "telephone_number": "423-728-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 KEITH ST NW",
            "address_2": "SUITE 102",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124375",
            "telephone_number": "423-728-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIRESTONE",
        "first_name": "LORI",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN116297",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "APN7647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4186544",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.