JAN LORENZ (NPI# 1619967569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619967569 |
| Entity Type | Individual |
| Full Name | JAN LORENZ |
| Credential | FNP |
| Practice Address |
2323 W Front St Tyler TX 75702-7704 |
| Mailing Address |
Po Box 4730 Tyler TX 75712-4730 |
| Practice Telephone | 9035971351 |
| Mailing Telephone | 9035971351 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2012-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
2005000649 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 116795906 | 05 |
| Street Address |
2323 W FRONT ST |
| City | TYLER |
| State | TX |
| Zip Code | 75702-7704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982240776 | Pamela Summers | Nurse Practitioner | 2323 W Front St, Tyler, TX 75702-7747 | 2019-11-27 |
| 1154833713 | Cieja Chapman | Nurse Practitioner | 2323 W Front St, Tyler, TX 75702-7704 | 2017-11-03 |
| 1184159097 | Alex Park | Pharmacist | 2323 W Front St, Tyler, TX 75702-7704 | 2017-04-28 |
| 1548706815 | Mollie Eaton | Behavioral Analyst | 2323 W Front St, Tyler, TX 75702-7704 | 2017-01-11 |
| 1538604715 | Andrews Center -pinkerton | Social Worker | 2323 W Front St, Tyler, TX 75702-7704 | 2016-12-27 |
| 1609310150 | Rachel Massey | Behavioral Analyst | 2323 W Front St, Tyler, TX 75702-7704 | 2016-12-16 |
| 1871948992 | Alexandra Smith | Physician Assistant | 2323 W Front St, Tyler, TX 75702-7704 | 2016-04-26 |
| 1952773293 | Susan Blalock | Counselor | 2323 W Front St, Tyler, TX 75702-7704 | 2015-10-27 |
| 1851777148 | Andrews Center/drop In | Community Based Residential Treatment Facility, Mental Illness | 2323 W Front St, Tyler, TX 75702-7704 | 2015-08-10 |
| 1922482751 | Andrews Center | Community/Behavioral Health | 2323 W Front St, Tyler, TX 75702-7704 | 2015-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
| 1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
| 1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
| 1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
| 1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
| 1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
| 1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
| Find all providers in zip 75702 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689113805 | Landon M Coleman | Nurse Practitioner | 7916 S Broadway Ave Ste 100, Tyler, TX 75703-5275 | 2017-02-21 |
| 1982240776 | Pamela Summers | Nurse Practitioner | 2323 W Front St, Tyler, TX 75702-7747 | 2019-11-27 |
| 1154833713 | Cieja Chapman | Nurse Practitioner | 2323 W Front St, Tyler, TX 75702-7704 | 2017-11-03 |
| 1669983482 | Sonja Hampshire | Nurse Practitioner | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2017-10-19 |
| 1740681279 | Amanda Blalock | Nurse Practitioner | 2323 W Front St, Tyler, TX 75702-7704 | 2014-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537857 | Julius Abam | Nurse Practitioner | 634 Rustic Trl, Midlothian, TX 76065-2267 | 2020-10-30 |
| 1750981619 | Suvekchya Subedi | Nurse Practitioner | 4032 Vista Mar Drive, Euless, TX 76040 | 2020-10-29 |
| 1821698754 | Christienne Felice Solis Callasan | Nurse Practitioner | 1010 Palos Verdes Blvd, Arlington, TX 76017-1780 | 2020-10-29 |
| 1932709201 | Aftercare, Pllc | Nurse Practitioner | 2000 Crawford St Ste 1221, Houston, TX 77002-9000 | 2020-10-27 |
| 1497355929 | Hector Medellin IIi | Nurse Practitioner | 6014 County Road 4068, Kemp, TX 75143-2600 | 2020-10-26 |
| 1639778947 | Aj Psychiatry Pllc | Nurse Practitioner | 1920 N Coit Rd Ste 219, Richardson, TX 75080-2832 | 2020-10-19 |
| 1154929735 | Valerie Michelle Vaughn-smith | Nurse Practitioner | 3105 Rockbrook Dr, Kilgore, TX 75662-2251 | 2020-10-15 |
| 1700483468 | Knd Behavioural Health Clinic | Nurse Practitioner | 103 Herrington Dr, Mansfield, TX 76063-7615 | 2020-10-06 |
| 1184231805 | Tihana Sladic | Nurse Practitioner | 1515 S Capital of Texas Hwy Ste 300&301, Austin, TX 78746-6579 | 2020-09-27 |
| 1679189369 | Charity Chioma Durant | Nurse Practitioner | 2310 Echo Ct, Rowlett, TX 75088-1534 | 2020-09-18 |
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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.