Laurel Otto, LPN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2058461 Issued in NY

Practice address

347 East Ave
Rochester, NY 14604-2617

Phone

(585) 454-4930

NPI assigned

Jan 6, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Interim Healthcare

  • Nursing Care Agency
  • Rochester, NY
  • NPI 1922330646
  NPD (past)

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1043514912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 BANEBERRY WAY",
            "city": "HILTON",
            "state": "NY",
            "postal_code": "144688981",
            "telephone_number": "585-392-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 EAST AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146042617",
            "telephone_number": "585-454-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTO",
        "first_name": "LAUREL",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "2058461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "123456",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jody Lynn Ostrander, M.S. CCC-SLP
• Sean A Ostro, D.D.S.
• Benjamin Ostrovsky, MD
• Amy Jo Otis, RN
• Jordan Gabrielle Ott, LMHC
• Mary Kai Otumfuo
• Xiaolan Ou, MD
• Fatima Leila Ouattara-Diarra I
• Sue E Ouellette, LMFT
• Fatiha Ousalem, D.M.D.

• Registered Nurse in Rochester, NY
• Providers in Rochester, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.