Lori Lynn Miebach (NPI# 1003334558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1003334558 |
| Entity Type | Individual |
| Full Name | Lori Lynn Miebach |
| Credential | RN, AGNP-C |
| Gender | Female |
| Practice Address |
405 County Road 3820 San Antonio TX 78253-6903 |
| Practice Telephone | (210) 508-0356 |
| Mailing Address |
405 County Road 3820 San Antonio TX 78253-6903 |
| Mailing Telephone | 2105080356 |
| Sole Proprietor | Yes, this individual is a Sole Proprietor |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-09-05 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 363LG0600X | Nurse Practitioner · Gerontology | Physician Assistants & Advanced Practice Nursing Providers | AP135036 | TX |
| NPI | 1003334558 |
| PAC ID by PECOS | 3779849278 |
| Professional Enrollment ID | I20171116002118 |
| Full Name | Lori Lynn Miebach |
| Organization Legal Name | MED MANAGEMENT ASSOCIATES |
| Phone Number | 8302492594 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7810299187 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295331858 | Michelle Anne Mourre | Nurse Practitioner | 23910 W Interstate 10 Apt 4209, San Antonio, TX 78257-1387 | 2020-12-09 |
| 1376996819 | April Sohee Toscano | Nurse Practitioner | 1200 Brooklyn Ave Ste 350, San Antonio, TX 78212-4817 | 2016-07-20 |
| 1245500230 | Jenny Davis | Nurse Practitioner | 419 Country Ln, San Antonio, TX 78209-2320 | 2012-01-06 |
| 1700199429 | Christina Elsa Ramsey | Nurse Practitioner | 4539 Barnard Ml, San Antonio, TX 78247-5947 | 2010-07-22 |
| 1649387630 | Ughanmwan Efeovbokhan | Nurse Practitioner | 5309 Wurzbach Rd Ste 200-9, San Antonio, TX 78238-2444 | 2006-08-24 |
| 1689665887 | Gail Lynn Beaver | Nurse Practitioner | 7541 Us Highway 87, E, Suite #1, San Antonio, TX 78263-2407 | 2005-11-04 |
| 1689676090 | Sarah Louise Booth | Nurse Practitioner | 516 Lexington Ave, San Antonio, TX 78215-1930 | 2005-08-15 |
| 1245826486 | Carolyn Payne | Nurse Practitioner | 4458 Medical Dr Ste 205, San Antonio, TX 78229-3748 | 2020-12-11 |
| 1427607696 | Rukevwe Theodora Agho | Nurse Practitioner | 2833 Babcock Rd, San Antonio, TX 78229-5390 | 2019-09-10 |
| 1376008276 | Greta Mills Mann | Nurse Practitioner | 5253 Prue Rd Ste 315c, San Antonio, TX 78240-1758 | 2019-02-05 |
| Find all providers in SAN ANTONIO | ||||
| Street Address |
405 COUNTY ROAD 3820 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78253-6903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587431 | Mysa Dental Pllc | Clinic/Center | 13762 Potranco Rd, Suite 400, San Antonio, TX 78253 | 2020-10-30 |
| 1831796770 | Keesha Ann Green | Behavior Technician | 5522 Lone Star Pkwy Building #3 Suite 101, San Antonio, TX 78253 | 2020-10-05 |
| 1164044392 | H-e-b, Lp | Clinical Medical Laboratory | 14325 Potranco Rd, San Antonio, TX 78253 | 2020-05-11 |
| 1790318400 | Judith Poole | Massage Therapist | 10919 Culebra Rd Ste 112, Room 5, San Antonio, TX 78253 | 2020-02-20 |
| 1780217976 | Tovar Dental, Pllc | Dentist | 11840 Alamo Ranch Parkway, #90, San Antonio, TX 78253 | 2020-02-17 |
| 1104468263 | Diane-claire Villarreal | Behavior Technician | 522 Lonestar Parkway Suite 101, San Antonio, TX 78253 | 2019-10-10 |
| 1194374215 | Deren Robert Green | Counselor | 1401 Dezarae Lot #3, San Antonio, TX 78253 | 2019-09-11 |
| 1508425554 | Michael Lavaughn Nash | Physical Therapist | 11919 Culebra Road, Bldg. 1, Suite 101, San Antonio, TX 78253 | 2019-06-12 |
| 1548823263 | Bexar County Emergency Services District Number Two | Ambulance | 7045 Old Talley Rd., San Antonio, TX 78253 | 2019-04-18 |
| 1053879742 | Donnelle D Storrs | Nurse Practitioner | Soba Recovery Center Texas, 1401 Dezarae, San Antonio, TX 78253 | 2019-03-12 |
| Find all providers in zip 78253 | ||||
| City | SAN ANTONIO |
| Zip Code | 78253 |
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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.