Individual provider Active NPI

Denise H. Laurienti, M.D.

  • Nephrology Physician
  • Winston Salem, NC
National Provider Identifier
1023017563
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
83513 Issued in NC
Practice address
730 Highland Oaks Dr
Suite 201
Winston-Salem, NC 27103-7108
Phone
(336) 768-2425
Fax
(336) 768-4915
NPI assigned
Jul 18, 2005
Last updated
Aug 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 83513 NC
Nephrology Physician 207RN0300X 83513 NC Primary

Addresses

Primary practice location

730 Highland Oaks Dr
Suite 201
Winston-Salem, NC 27103-7108

Mailing address

730 Highland Oaks Dr Ste 201
Winston Salem, NC 27103-7108
Phone (336) 768-2425

Other identifiers 2

IdentifierTypeStateIssuer
89136NJMedicaidNC
136NJOtherNCBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jlaurienti140587@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040616000670 NC Practitioner - NephrologyPractitioner - Internal Medicine 0840274965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Texas Medical Branch at Galveston, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
W Scott Moore Et Al PTRGroup PAC ID 2365426483, 12 clinicians

Practice addresses (Care Compare)

730 Highland Oaks Dr
Suite 201
Winston Salem, NC 27103-7108
Phone (336) 768-2425

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
83513NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates, P.L.L.C. CurrentSince Feb 6, 2022 Accepting new patients
W Scott Moore Et Al PTR Nephrology CurrentSince Jul 1, 2004 Accepting new patients

Locations

10 Laura Ln
Thomasville, NC 27360
Phone (336) 472-4500

1219 Lexington Ave
Ste D
Thomasville, NC 27360
Phone (336) 475-0200

730 Highland Oaks Dr
Ste 201
Winston Salem, NC 27103
Phone (336) 768-2425

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1023017563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 HIGHLAND OAKS DR STE 201",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271037108",
            "telephone_number": "336-768-2425",
            "fax_number": "336-768-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 HIGHLAND OAKS DR",
            "address_2": "SUITE 201",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271037108",
            "telephone_number": "336-768-2425",
            "fax_number": "336-768-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURIENTI",
        "first_name": "DENISE",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "83513",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "83513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89136NJ",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "136NJ",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlaurienti140587@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "730 Highland Oaks Dr",
            "address_2": "Suite 201",
            "city": "Winston-Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271037108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.