Individual provider Active NPI

Lauren Alexandra Laqua, CPNP-PC

  • Pediatrics Physician
  • Durango, CO
National Provider Identifier
1023602737
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0996166 Issued in CO
Practice address
2530 Colorado Ave Unit 2a
Durango, CO 81301-4761
Phone
(970) 512-5255
Fax
(970) 615-4981
NPI assigned
Feb 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0996166 CO Primary

Addresses

Primary practice location

2530 Colorado Ave Unit 2a
Durango, CO 81301-4761

Mailing address

2530 Colorado Ave Unit 2a
Durango, CO 81301-4761
Phone (970) 512-5255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20210430001332 TN Practitioner - Nurse Practitioner 9537578638 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0996166COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Mountain Pediatrics, Inc. Pediatrics CurrentSince Sep 14, 2025 Accepting new patients
Pediatric Associates of Durango, Inc Pediatrics Past Accepting new patients

Locations

2530 Colorado Ave
Unit 2A
Durango, CO 81301
Phone (970) 259-5711

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1023602737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 COLORADO AVE UNIT 2A",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014761",
            "telephone_number": "970-512-5255",
            "fax_number": "970-615-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 COLORADO AVE UNIT 2A",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014761",
            "telephone_number": "970-512-5255",
            "fax_number": "970-615-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAQUA",
        "first_name": "LAUREN",
        "middle_name": "ALEXANDRA",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "0996166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.