Lori Gayle Pruitt (NPI# 1316413255, PAC ID# 8123362381) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1316413255 |
| PAC ID by PECOS | 8123362381 |
| Professional Enrollment ID | I20181129001624 |
| Full Name | Lori Gayle Pruitt |
| Organization Legal Name | GENESIS GYNECOLOGY PA |
| Address |
176 Fairway Dr Kerrville TX 78028-6437 |
| Phone Number | 8307920805 |
| Gender | F |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2062582638 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450007 | PETERSON REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 176 Fairway Dr, Kerrville, TX 78028-6437 | 8307920805 | GENESIS GYNECOLOGY PA |
| Organization Legal Name | GENESIS GYNECOLOGY PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Pelton | Internal Medicine | Genesis Gynecology Pa | 176 Fairway Dr, Kerrville, TX 78028-6437 |
| Kerri L Truelock | Obstetrics/gynecology | Genesis Gynecology Pa | 176 Fairway Dr, Kerrville, TX 78028-6437 |
| Mary E Mcauliffe | Nurse Practitioner | Genesis Gynecology Pa | 176 Fairway Dr, Kerrville, TX 78028-6437 |
| Street Address |
176 FAIRWAY DR |
| City | KERRVILLE |
| State | TX |
| Zip | 78028-6437 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Pelton | Internal Medicine | Genesis Gynecology Pa | 176 Fairway Dr, Kerrville, TX 78028-6437 |
| Kerri L Truelock | Obstetrics/gynecology | Genesis Gynecology Pa | 176 Fairway Dr, Kerrville, TX 78028-6437 |
| Mary E Mcauliffe | Nurse Practitioner | Genesis Gynecology Pa | 176 Fairway Dr, Kerrville, TX 78028-6437 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey Marie Jones | Chiropractic | 1416 Sidney Baker St, Kerrville, TX 78028-2725 | |
| Karen Lynn Conner | Clinical Psychologist | 419 Leland St, Kerrville, TX 78028-3112 | |
| Cynia D Menzik | Nurse Practitioner | Hill Country Community Mhmr Center | 955 Water St, Kerr Co Mental Hlth Ctr, Kerrville, TX 78028-3508 |
| Jennifer Elizabeth Parmerter | Nurse Practitioner | Hill Country Community Mhmr Center | 955 Water St, Kerr Co Mental Hlth Ctr, Kerrville, TX 78028-3508 |
| Eugene N Clayton Iii | Pain Management | 1001 Water St, Kerrville, TX 78028-3513 | |
| Sylvester G Ramirez | Otolaryngology | 1001 Water St, Suite D 100, Kerrville, TX 78028-3513 | |
| David R Miloy | Internal Medicine | 1411 Water St, Kerrville, TX 78028-3547 | |
| Celine B Ord | Radiation Oncology | Hill Country Center for Cancer Care | 1001 Water St, Suite 100, Kerrville, TX 78028-3569 |
| Douglas E Wright | Gastroenterology | Douglas E Wright, Md, Pa | 1001 Water St, Suite E 200, Kerrville, TX 78028-3572 |
| Mistie Kocurek | Nurse Practitioner | Douglas E Wright, Md, Pa | 1001 Water St, Suite E 200, Kerrville, TX 78028-3572 |
| Find all physicians in zip 78028 | |||
| City | KERRVILLE |
| Zip Code | 78028 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | KERRVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Lori Gayle Pruitt.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.