Active NPI
Laura Tucker Cepeda, MD
- Dermatology Physician
- Fairhope, AL
National Provider Identifier
1043429392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 28780
- Practice address
- 202 Rock Creek Pkwy
Fairhope, AL 36532-3349 - Phone
- (251) 928-3844
- Fax
- (251) 928-3353
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 28780 | AL | Primary |
Addresses
Primary practice location
202 Rock Creek Pkwy
Fairhope, AL 36532-3349
Mailing address
202 Rock Creek Pkwy
Fairhope, AL 36532-3349
Phone (251) 928-3384
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28780 | AL | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277683200000",
"number": "1043429392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 ROCK CREEK PKWY",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365323349",
"telephone_number": "251-928-3384",
"fax_number": "251-928-3353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 ROCK CREEK PKWY",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365323349",
"telephone_number": "251-928-3844",
"fax_number": "251-928-3353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEPEDA",
"first_name": "LAURA",
"middle_name": "TUCKER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2010-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "AL",
"license": "28780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairhope, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.