Active NPI
Lori Ann Johns, RN,MN, FNP- BC
- Family Nurse Practitioner
- Rockaway Beach, OR
National Provider Identifier
1932198371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201050034NP
- Practice address
- 1021 NE 13TH Ave
Rockaway Beach, OR 97136-9312 - Phone
- (916) 202-5799
- NPI assigned
- Oct 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6699 | CA | |
| Family Nurse Practitioner | 363LF0000X | 201050034NP | OR | Primary |
Addresses
Primary practice location
1021 NE 13TH Ave
Rockaway Beach, OR 97136-9312
Mailing address
1021 NE 13TH Ave
Rockaway Beach, OR 97136-9312
Phone (916) 202-5799
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201050034NP | Other | OR | NP LICENSE |
| 359033 | Other | CA | RN |
| 201040443RN | Other | OR | RN LICENSE |
| 6699 | Other | CA | NURSE PRACTITIONER FURNISHING NUMBER & CERTIFICATE |
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)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6699 | CA | MD | Speech-Language Assistant |
| 201050034NP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Coast Hospital | Past | Accepting new patients |
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.
-
dba Sutter Coast Health Clinic @ Brookings-Harbor
- Primary Care Clinic/Center
- Brookings, OR
- NPI 1306853296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339372800000",
"number": "1932198371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 NE 13TH AVE",
"city": "ROCKAWAY BEACH",
"state": "OR",
"postal_code": "971369312",
"telephone_number": "916-202-5799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 NE 13TH AVE",
"city": "ROCKAWAY BEACH",
"state": "OR",
"postal_code": "971369312",
"telephone_number": "916-202-5799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNS",
"first_name": "LORI",
"middle_name": "ANN",
"credential": "RN,MN, FNP- BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-18",
"last_updated": "2012-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "6699",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201050034NP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP LICENSE",
"identifier": "201050034NP",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "359033",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "201040443RN",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER FURNISHING NUMBER & CERTIFICATE",
"identifier": "6699",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockaway Beach, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.