Lori A Wisdom, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP117028 Issued in TX

Practice address

6402 Louetta Rd Ste 140
Spring, TX 77379-7582

Phone

(281) 251-8700

Fax

(281) 251-8701

NPI assigned

Jul 23, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lori Ortiz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• PHM Concepts, Inc

  • Family Medicine Physician
  • Spring, TX
  • NPI 1457926149
  NPD Authorized official

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1962667550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 LOUETTA RD STE 140",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797582",
            "telephone_number": "281-251-8700",
            "fax_number": "281-251-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6402 LOUETTA RD STE 140",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797582",
            "telephone_number": "281-251-8700",
            "fax_number": "281-251-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISDOM",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP117028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "ORTIZ",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paige Alexandria Winston
• Raemeka Winston, RSW
• Ainsley Winter
• Arden Marie Winter
• Claire Eileen Winters, PTA
• Wise Therapy Services
• Laryssa Lucille Wise
• Robin Wishkoski, BCBA
• Heidi Jenelle Witcher
• Katherine Withem, SLP

• Nurse Practitioner in Spring, TX
• Providers in Spring, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.