MRS. LORA LEA KOENIG (NPI# 1912419623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912419623 |
| Entity Type | Individual |
| Full Name | MRS. LORA LEA KOENIG |
| Practice Address |
1035 Rose Ln Riverton WY 82501-2291 |
| Mailing Address |
Po Box 10 223 North Cherry Street Pavillion WY 82523 |
| Practice Telephone | 3072336000 |
| Practice Fax Number | 3072336089 |
| Mailing Telephone | 3078567970 |
| Mailing Fax Number | 3078568641 |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 20484 | WY | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
20484.1792 | WY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1035 ROSE LN |
| City | RIVERTON |
| State | WY |
| Zip Code | 82501-2291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083865554 | Riverton Physician Practices LLC | Internal Medicine | 1035 Rose Ln, Suite D, Riverton, WY 82501-2286 | 2008-10-02 |
| 1770990426 | Rendezvous Medical | Clinic/Center | 1035 Rose Ln, Suite D, Riverton, WY 82501-2286 | 2014-07-15 |
| 1366735466 | Rendezvous Medical | Pediatrics | 1035 Rose Ln, Suite B, Riverton, WY 82501-2286 | 2011-05-23 |
| 1104065200 | Riverton Oncology Practice,llc | Internal Medicine | 1035 Rose Ln, Ste D, Riverton, WY 82501-2286 | 2009-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366914889 | Community Health Center of Central Wyoming Inc | Clinic/Center | 704 Fremont Ave, Riverton, WY 82501 | 2018-12-21 |
| 1699292391 | Wind River Cares Riverton | Clinic/Center | 511 North 12 Street East, Riverton, WY 82501 | 2017-08-24 |
| 1801242268 | Jessika Ruth Waldron | Case Manager/Care Coordinator | 1519 1/2 E Pershing, Riverton, WY 82501 | 2016-05-04 |
| 1467815498 | Orren P Janis Sr. | Community Health Worker | 10369 Highway 789, 10369 Hwy 789, Riverton, WY 82501 | 2016-03-29 |
| 1194186320 | Amanda R Vroman | Counselor | 10269 Hwy 789, Riverton, WY 82501 | 2016-03-16 |
| 1770944902 | William Nolan Sage | Counselor | 10269 Hwy. 789, Riverton, WY 82501 | 2016-03-16 |
| 1962806331 | Moss Dentistry | Dentist | 203 E Main Street, Suite 205, Riverton, WY 82501 | 2014-10-14 |
| 1215339957 | Jordan Hays | Registered Nurse | 11855 Us Highway 26, Riverton, WY 82501 | 2014-09-25 |
| 1538584750 | Michaela R Sisneros | Nursing Care | 2890 Cooper Rd, Riverton, WY 82501 | 2014-02-25 |
| 1487089843 | Olivia P Washington | Registered Nurse | 43 Goes In Lodge Road, Riverton, WY 82501 | 2013-09-04 |
| Find all providers in zip 82501 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130629 | Jessica Noel Wagner | Nurse Practitioner | 12828 S 3600 W Ste 101, Riverton, UT 84065-6853 | 2020-09-29 |
| 1164071403 | Kirsten Nelson | Nurse Practitioner | 1420 W 12600 S, Riverton, UT 84065-7070 | 2019-09-09 |
| 1477039261 | William E Turgoose | Nurse Practitioner | 5392 W Autumn Heights Dr, Riverton, UT 84096-6571 | 2018-07-14 |
| 1679095111 | Sariah Pok Machado-lovon | Nurse Practitioner | 13348 S Market Center Dr Ste 210, Riverton, UT 84065-8011 | 2017-07-15 |
| 1841725470 | Jodi Laughlin | Nurse Practitioner | 400 Highway, Riverton, NJ 08077 | 2017-04-20 |
| 1558804641 | Erika Seaquist-goble | Nurse Practitioner | 13624 S Danaus Way, Riverton, UT 84096-8930 | 2016-11-22 |
| 1679967327 | Jessica Celeste Stevens | Nurse Practitioner | 1756 W Park Ave, Riverton, UT 84065-4701 | 2015-03-20 |
| 1003244294 | Sue E. Terry | Nurse Practitioner | 6524 Se Quakervale Rd, Riverton, KS 66770-4214 | 2013-10-24 |
| 1932353380 | Andrea Graham Southerland | Nurse Practitioner | 1420 W 12600 S Ste 102, Riverton, UT 84065-7080 | 2008-11-12 |
| 1285252536 | Josiah Bonnell | Nurse Practitioner | 1756 W Park Ave, Riverton, UT 84065-4701 | 2020-07-13 |
| Find all providers in RIVERTON | ||||
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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.