Individual provider Active NPI

Amy Dee Loret, MD

  • Family Medicine Physician
  • Lacey, WA
National Provider Identifier
1932845294
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
61549329 Issued in WA
Practice address
6506 Oklahoma St SE
Lacey, WA 98513-5088
Phone
(801) 884-8892
NPI assigned
May 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 61549329 WA Primary

Addresses

Primary practice location

6506 Oklahoma St SE
Lacey, WA 98513-5088

Mailing address

1232 Ridge Meadow LN Apt 3E
Cottonwood Heights, UT 84047-6200
Phone (801) 884-8892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251103000298 WA Order and Referring Only - Family PracticePractitioner - Family Practice 5496244030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61549329WAMDFamily Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1932845294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 RIDGE MEADOW LN APT 3E",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "840476200",
            "telephone_number": "801-884-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6506 OKLAHOMA ST SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985135088",
            "telephone_number": "801-884-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORET",
        "first_name": "AMY",
        "middle_name": "DEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "61549329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

Verify at the official NPI Registry.