Active NPI
Rebecca Lorenz, RN
- Addiction (Substance Use Disorder) Registered Nurse
- Saint Louis, MO
National Provider Identifier
1972622397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Registered Nurse
- License
- 124743
- Practice address
- 2639 Miami St
Saint Louis, MO 63118-3929 - Phone
- (314) 361-1630
- Fax
- (314) 361-1630
- NPI assigned
- Mar 28, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 124743 | MO | Primary |
Addresses
Primary practice location
2639 Miami St
Saint Louis, MO 63118-3929
Mailing address
900 E Laharpe St
Kirksville, MO 63501-4520
Phone (660) 665-1962
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124743 | MO | MD | Addiction (Substance Use Disorder) Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972622397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 E LAHARPE ST",
"city": "KIRKSVILLE",
"state": "MO",
"postal_code": "635014520",
"telephone_number": "660-665-1962",
"fax_number": "660-665-3989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2639 MIAMI ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631183929",
"telephone_number": "314-361-1630",
"fax_number": "314-361-1630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORENZ",
"first_name": "REBECCA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "MO",
"license": "124743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.