MS. LORI A WAGNER APRN NPI 1710972260

NPI Information

NPI: 1710972260
Provider Name: MS. LORI A WAGNER, APRN
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
2387 PROFESSIONAL HEIGHTS DR STE 180
LEXINGTON, KY
ZIP 40503
Phone: (859) 967-9486
Get Directions

MS. Lori A Wagner, APRN is an adult health nurse practitioner in Lexington, KY with 28 years of experience. MS. Lori A Wagner, APRN NPI is 1710972260. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduation Year:1996

The provider's business location address is:

2387 PROFESSIONAL HEIGHTS DR STE 180
LEXINGTON, KY
ZIP 40503-013
Phone: (859) 967-9486
Fax: (859) 368-7780

The NPI 1710972260 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/12/2005 and was last updated on 3/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		1078503	KENTUCKY	No
2	363L00000X	Nurse Practitioner		3002772	KENTUCKY	No
3	363LA2100X	Nurse Practitioner	Acute Care	3002772	KENTUCKY	No
4	363LA2200X	Nurse Practitioner	Adult Health	3002772	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	11221661	OTHER		CAQH
2	78000007	MEDICAID	KENTUCKY
3	1078503	OTHER	KENTUCKY	REGISTERED NURSE
4	3002772	OTHER	KENTUCKY	ADVANCED PRACTICE REGISTERED NURSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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