LORI FLIS (NPI# 1154457117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154457117 |
| Entity Type | Individual |
| Full Name | LORI FLIS |
| Credential | CNP |
| Practice Address |
302 W Main Street Gulf Family Practice II Sophia WV 25921 |
| Mailing Address |
Po Box 337 Scarbro WV 25917-0337 |
| Practice Telephone | 3046834304 |
| Practice Fax Number | 3046834307 |
| Mailing Telephone | 3044692905 |
| Mailing Fax Number | 3044655486 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2013-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
45370 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810011082 | 05 |
| Street Address |
302 W MAIN STREET GULF FAMILY PRACTICE II |
| City | SOPHIA |
| State | WV |
| Zip Code | 25921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851836225 | New River Health Association, Inc | Clinic/Center | 302 W Main Street, Sophia, WV 25921 | 2016-12-21 |
| 1548492879 | Terri L. Schuetz | Nurse Practitioner | 302 W Main Street, Sophia, WV 25921-1283 | 2009-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152510 | Cortney Louise Lacy | Technician | 234 East Railroad Ave, Sophia, WV 25921 | 2020-10-20 |
| 1952909889 | April Chapman | Technician | 141 Leona Dr, Sophia, WV 25921 | 2020-10-13 |
| 1205445400 | Alesia Marie Basham | Technician | 216 Blue Room Rd, Sophia, WV 25921 | 2020-07-24 |
| 1104435304 | Shannon T. Linville | Technician | 304 W. Railroad Ave., Apt.2, Sophia, WV 25921 | 2020-07-24 |
| 1073077194 | James Kincaid | Pharmacist | 837 Robert C. Byrd Drive, Sophia, WV 25921 | 2019-01-23 |
| 1912472069 | Lester Square Pharmacy | Pharmacy | 837 Robert C Byrd Dr, Sophia, WV 25921 | 2018-10-04 |
| 1609194505 | New River Health Association, Inc. | Pharmacy | 302 W. Main St, Sophia, WV 25921 | 2010-05-17 |
| 1558590166 | A Place To Heal Inc | Physical Therapist | 106 W. Main Street, Sophia, WV 25921 | 2009-07-06 |
| 1023257599 | Jeremiah D Miller | Family Medicine | 302 W. Main St., Sophia, WV 25921 | 2009-02-06 |
| 1154585941 | Mary Jane Tudor | Technician/Technologist | 834 Robert C Byrd Drive Unit B, Sophia, WV 25921 | 2008-07-11 |
| Find all providers in zip 25921 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922316405 | Katherine A Fulco | Nurse Practitioner | 410 W Main Street, Sophia, WV 25921 | 2010-09-18 |
| 1548254097 | Tammy R Smith | Nurse Practitioner | 410 Main Street, Gulf Family Practice, Sophia, WV 25921-1304 | 2005-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517259 | Jeniffer Rachelle Wickline | Nurse Practitioner | 1265 Maplewood Ave, Lewisburg, WV 24901-9478 | 2020-10-27 |
| 1497354047 | Sara L Clayborne | Nurse Practitioner | 130 N Queens Ct, Huntington, WV 25705-3736 | 2020-10-23 |
| 1427656735 | Kisha Lanece James | Nurse Practitioner | 16 Red Mulberry Way Apt 3, Charleston, WV 25306-0107 | 2020-10-09 |
| 1568069110 | Sarah Michelle Jones | Nurse Practitioner | 198 Morgantown St Unit 2, Bruceton Mills, WV 26525-5003 | 2020-10-07 |
| 1114524287 | Mary E Christian | Nurse Practitioner | 2107 Pike St Ste 3, Parkersburg, WV 26101-6973 | 2020-10-02 |
| 1376140517 | Katheryn Sue Marsh | Nurse Practitioner | 94 W Main St Ste 202, Buckhannon, WV 26201-2376 | 2020-10-01 |
| 1114534567 | Natalie Renee Warner | Nurse Practitioner | 601 Colliers Way Ste 502, Weirton, WV 26062-5014 | 2020-09-29 |
| 1942816137 | Angela Renee Goff | Nurse Practitioner | 119 Main St W Ste A, Oak Hill, WV 25901-2972 | 2020-09-22 |
| 1306452800 | Beverly Christine Young | Nurse Practitioner | 608 New Hope Rd Ste 8, Princeton, WV 24740-2287 | 2020-09-20 |
| 1407462070 | Lindsey King | Nurse Practitioner | 122 Waterside Cir, Winfield, WV 25213-9551 | 2020-09-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.