Individual provider Active NPI

Launa M Gonsioroski, ANP

  • Adult Health Nurse Practitioner
  • Caribou, ME
National Provider Identifier
1013020734
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R024702 Issued in ME
Practice address
163 Van Buren Rd
- VA Clinic
Caribou, ME 04736
Phone
(207) 498-3800
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R024702 ME Primary

Addresses

Primary practice location

163 Van Buren Rd
- VA Clinic
Caribou, ME 04736

Mailing address

67 Griffin Ridge Rd
Mapleton, ME 04757
Phone (207) 764-8026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210104000100 ME Order and Referring Only - Nurse Practitioner 6204018377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R024702MEMDAdult Health Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013020734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 GRIFFIN RIDGE RD",
            "city": "MAPLETON",
            "state": "ME",
            "postal_code": "04757",
            "telephone_number": "207-764-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 VAN BUREN RD",
            "address_2": "- VA CLINIC",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "04736",
            "telephone_number": "207-498-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONSIOROSKI",
        "first_name": "LAUNA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "ME",
            "license": "R024702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caribou, ME

Sources for this page

Verify at the official NPI Registry.