Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912096249 Individual Practitioner Female Practitioner

Lori Anne Wise , CPNP

Nurse Practitioner - Pediatrics • Roanoke, VA

Professional Overview & Biography Verified Profile Summary

Lori Wise, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Roanoke, VA. Practice services are available at 4348 ELECTRIC RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4348 Electric Rd

Roanoke, VA 240180720

Telephone 5407690976
Fax 5408575386
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Roanoke, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
20 Specialists

Practicing in Roanoke, VA (606 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-08-08
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License VA 0024178297

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License SC 17778

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
NP2014 (SC)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003870262

Doctor of Medicine (M.D.)

Dr. Joseph Tamez , MD

Pediatrics - Pediatric Pulmonology

NPI 1003888900

Doctor of Medicine (M.D.)

NPI 1013544154

Doctor of Medicine (M.D.)

Abbey Stone

Dietitian, Registered

NPI 1013874577
Ibelitze Madigan

Student in an Organized Health Care Education/Training Program

NPI 1023802733
NPI 1053385658

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Business Mailing Address August 08, 2022

Registered at 213 S JEFFERSON ST STE 1006, ROANOKE, VA 240111713 (Tel: 5402245715)

📍
Updated Practice Location November 02, 2021

Registered at 4348 ELECTRIC RD, ROANOKE, VA 240180720 (Tel: 5407690976)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2021

Nurse Practitioner (License #17778 in SC)

📍
Updated Practice Location December 12, 2019

Registered at 102 HIGHLAND AVE SE STE 455, ROANOKE, VA 240132202 (Tel: 5402244445)

📍
Updated Business Mailing Address December 12, 2019

Registered at 102 HIGHLAND AVE SE STE 455, ROANOKE, VA 240132202 (Tel: 5402244445)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2019

Nurse Practitioner (License #0024178297 in VA)

📍
Updated Business Mailing Address March 23, 2018

Registered at 1 INDEPENDENCE PT STE 212, GREENVILLE, SC 296154536

NPI Profile Active August 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 02, 2016

Registered at 200 PATEWOOD DR, STE A320, GREENVILLE, SC 296153593 (Tel: 8644545100)

📍
Updated Business Mailing Address August 02, 2016

Registered at 1 INDEPENDENCE PT, STE 212, GREENVILLE, SC 296154545

👤
Provider Name / Credentials Updated August 02, 2016

Recorded as LORI WISE, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2016

Nurse Practitioner (License #17778 in SC)

🟢
Initial NPI Registration & Enumeration October 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912096249
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2006
Last Update: August 08, 2022
Sole Proprietor: No

Mailing Address

213 S Jefferson St Ste 1006

Roanoke, VA 240111713

Phone: 5402245715

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.