LORI WALDERA (NPI# 1972591287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972591287 |
| Entity Type | Individual |
| Full Name | LORI WALDERA |
| Credential | C.N.M, F. N. P |
| Practice Address |
3 Century Ave Hutchinson MN 55350 |
| Practice Telephone | 3205872020 |
| Practice Fax Number | 3204844686 |
| Mailing Telephone | 3205872020 |
| Mailing Fax Number | 3204844686 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2016-11-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | CNP3348 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 262308100 | 05 |
| Street Address |
3 CENTURY AVE |
| City | HUTCHINSON |
| State | MN |
| Zip Code | 55350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205147295 | Brenda Simon | Family Medicine | 3 Century Ave, Hutchinson, MN 55350 | 2010-06-24 |
| 1407006240 | Emily S Zoulek | Obstetrics & Gynecology | 3 Century Ave, Hutchinson, MN 55350 | 2008-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063971521 | Carrie Morgando | Counselor | 255 Minnesota 7, Hutchinson, MN 55350 | 2019-03-14 |
| 1790243046 | Thrifty Drug Stores Inc | Durable Medical Equipment & Medical Supplies | 1460 Montreal St, Hutchinson, MN 55350 | 2019-03-06 |
| 1376013953 | Complete Assessments LLC | Rehabilitation, Substance Use Disorder Unit | 340 5th Ave Sw, Hutchinson, MN 55350 | 2018-11-27 |
| 1891283743 | Abby Ann Trettin | Optometrist | 1059 Mn-15, Hutchinson, MN 55350 | 2018-04-26 |
| 1154862142 | Serena Roehl | Specialist/Technologist | 150 Orchard Ave Se, Hutchinson, MN 55350 | 2017-03-10 |
| 1093264616 | Jessica Munsch | Occupational Therapist | 544 Prospect St. Ne, Hutchinson, MN 55350 | 2016-09-23 |
| 1962835777 | Jacqui Marie Ruzicka | Counselor | 255 Highway 7 E, Hutchinson, MN 55350 | 2013-08-15 |
| 1023455243 | Actively Living Life Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1187 Blackhawk Dr Sw, Hutchinson, MN 55350 | 2013-05-29 |
| 1669711966 | Stacy Marie Vancura | Counselor | 902 Highway 15 S Ste 200, Hutchinson, MN 55350 | 2013-02-06 |
| 1619226040 | Samantha Heather Stevens | Registered Nurse | 246 S. Main St., Prairie River Home Care, Hutchinson, MN 55350 | 2012-08-30 |
| Find all providers in zip 55350 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642259 | Susan Morris | Nurse Practitioner | 2201 N Waldron St, Hutchinson, KS 67502-1143 | 2019-01-07 |
| 1134657158 | Hope Elizabeth Hewitt | Nurse Practitioner | 421 E 14th Ave, Hutchinson, KS 67501-5552 | 2017-06-03 |
| 1336404524 | Denette A Lamb | Nurse Practitioner | 1514 Aurora Dr, Hutchinson, KS 67501-1217 | 2012-07-12 |
| 1225287493 | Janet Leigh Grilliot | Nurse Practitioner | 1600 N Lorraine St Ste 203, Hutchinson, KS 67501-5600 | 2008-09-12 |
| 1689213381 | Beth Nicole Guy | Nurse Practitioner | 2101 N Waldron St, Hutchinson, KS 67502-1197 | 2019-12-27 |
| 1609336783 | Anda Marie Entz | Nurse Practitioner | 2101 N Waldron St, Hutchinson, KS 67502-1197 | 2019-03-23 |
| 1528539517 | Stephanie Kay Isaacson | Nurse Practitioner | 2101 N Waldron St, Hutchinson, KS 67502-1197 | 2018-12-17 |
| 1114409166 | Amy Sue Panek | Nurse Practitioner | 2101 N Waldron St, Hutchinson, KS 67502-1197 | 2018-09-05 |
| 1467957860 | Sarah Rose Long | Nurse Practitioner | 2101 N Waldron St, Hutchinson, KS 67502-1197 | 2018-03-27 |
| 1073029740 | Jessica Danielle Schmidt | Nurse Practitioner | 2101 N Waldron St, Hutchinson, KS 67502-1131 | 2017-12-18 |
| Find all providers in HUTCHINSON | ||||
| City | HUTCHINSON |
| Zip Code | 55350 |
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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.