Active NPI
Laurel Hallson
- Obstetrics & Gynecology Physician
- Lauderdale by the Sea, FL
National Provider Identifier
1013332980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME76371
- Practice address
- 4401 W Tradewinds Ave
Lauderdale by the Sea, FL 33308-4463 - Phone
- (954) 817-5653
- Fax
- (954) 776-6969
- NPI assigned
- Feb 28, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME76371 | FL | Primary |
Addresses
Primary practice location
4401 W Tradewinds Ave
Lauderdale by the Sea, FL 33308-4463
Mailing address
4401 W Tradewinds Ave
Lauderdale by the Sea, FL 33308-4463
Phone (954) 817-5653
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME76371 | FL | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393545600000",
"number": "1013332980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 W TRADEWINDS AVE",
"city": "LAUDERDALE BY THE SEA",
"state": "FL",
"postal_code": "333084463",
"telephone_number": "954-817-5653",
"fax_number": "954-776-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 W TRADEWINDS AVE",
"city": "LAUDERDALE BY THE SEA",
"state": "FL",
"postal_code": "333084463",
"telephone_number": "954-817-5653",
"fax_number": "954-776-6969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLSON",
"first_name": "LAUREL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-28",
"last_updated": "2014-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME76371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lauderdale by the Sea, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.