Individual provider Active NPI

Laura Koue, FNP-C

  • Family Nurse Practitioner
  • Santa Cruz, CA
National Provider Identifier
1053191841
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95027243 Issued in CA
Practice address
1662 Dominican Way
Santa Cruz, CA 95065-1522
Phone
(831) 460-7350
NPI assigned
Sep 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95027243 CA Primary

Addresses

Primary practice location

1662 Dominican Way
Santa Cruz, CA 95065-1522

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408

Other practice location 1

180 S Frontage Rd W Ste 5800
Vail, CO 81657-5038
Phone (970) 926-6340

Other practice location 2

365 Dillon Ridge Rd Ste 1200
Dillon, CO 80435-6344
Phone (970) 926-6340

Other practice location 3

50 Buck Creek Rd Ste 200
Avon, CO 81620-5428
Phone (970) 926-6340

Other practice location 4

377 Sylvan Lake Rd Ste 210
Eagle, CO 81631-6779
Phone (970) 926-6340

Other practice location 5

377 Sylvan Lake Rd Ste 120
Eagle, CO 81631-6779
Phone (970) 926-6340

Other practice location 6

50 Buck Creek Rd Ste 100
Avon, CO 81620-5428
Phone (970) 926-6340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240106000655 CA Practitioner - Nurse Practitioner 4385095074 Reassigns benefits to 1 organization
I20250306000114 CO Practitioner - Nurse Practitioner 4385095074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Mountain Medical, LLCGroup PAC ID 5496087181, 63 clinicians

Practice addresses (Care Compare)

50 Buck Creek Rd
Suite 100
Avon, CO 81620-5428
Phone (970) 926-6340

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95027243CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation Current Accepting new patients
Colorado Mountain Medical, LLC CurrentSince Jan 1, 2025 Accepting new patients
Colorado Mountain Medical, LLC Current Accepting new patients
Sutter Bay Medical Foundation CurrentSince Jan 8, 2024 Accepting new patients
Colorado Mountain Medical, LLC CurrentSince Jan 1, 2025 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Jan 8, 2024 Accepting new patients
Colorado Mountain Medical, PC Past Accepting new patients

Locations

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

1662 Dominican Way
Santa Cruz, CA 95065
Phone (408) 475-1100

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

365 Dillon Ridge Rd
Ste 1200
Dillon, CO 80435
Phone (970) 479-7272

365 Dillon Ridge Rd
Ste 1100
Dillon, CO 80435
Phone (970) 470-6648

377 Sylvan Lake Rd
Ste 120
Eagle, CO 81631
Phone (970) 926-1800

377 Sylvan Lake Rd
Ste 210
Eagle, CO 81631
Phone (970) 328-1650

181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225

180 S Frontage Rd W
Ste 5800
Vail, CO 81657

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1053191841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 DOMINICAN WAY",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651522",
            "telephone_number": "831-460-7350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 S Frontage Rd W Ste 5800",
            "address_purpose": "LOCATION",
            "city": "Vail",
            "state": "CO",
            "postal_code": "816575038",
            "country_code": "US",
            "telephone_number": "970-926-6340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "365 Dillon Ridge Rd Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Dillon",
            "state": "CO",
            "postal_code": "804356344",
            "country_code": "US",
            "telephone_number": "970-926-6340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Buck Creek Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CO",
            "postal_code": "816205428",
            "country_code": "US",
            "telephone_number": "970-926-6340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "377 Sylvan Lake Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Eagle",
            "state": "CO",
            "postal_code": "816316779",
            "country_code": "US",
            "telephone_number": "970-926-6340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "377 Sylvan Lake Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Eagle",
            "state": "CO",
            "postal_code": "816316779",
            "country_code": "US",
            "telephone_number": "970-926-6340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Buck Creek Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CO",
            "postal_code": "816205428",
            "country_code": "US",
            "telephone_number": "970-926-6340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOUE",
        "first_name": "LAURA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95027243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.