Active NPI
Laurie Ann Fenton, NP
- Psychiatric/Mental Health Nurse Practitioner
- Jamestown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- SP014720
- Practice address
- 107 Institute St # NA
Jamestown, NY 14701-6628 - Phone
- (716) 484-4334
- NPI assigned
- Mar 22, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 574957-1 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F401506 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP014720 | PA | Primary |
Addresses
Primary practice location
107 Institute St # NA
Jamestown, NY 14701-6628
Mailing address
107 Institute St # NA
Jamestown, NY 14701-6628
Phone (716) 484-4334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1465 Foote Ave Ext
Jamestown, NY 14701-9383
Phone (716) 526-4041
20 Gillis Ave
Ridgway, PA 15853-1604
Phone (814) 772-5741
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 574957-1 | NY | MD | Registered Nurse |
| F401506 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
| SP014720 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warren General Hospital | Current | Accepting new patients | |
| Jamestown Psychiatric PC | Current | Accepting new patients | |
| The Chautauqua Center, Inc | Current | Accepting new patients | |
| Warren General Hospital | Current | Accepting new patients | |
| Chautauqua County Chapter of Nysarc Inc | Current | Accepting new patients | |
| Warren General Hospital | Current | Accepting new patients |
Locations
1134 Central Ave
Dunkirk, NY 14048
Phone (716) 366-6036
107 Institute St
Jamestown, NY 14701
Phone (716) 484-4334
200 Dunham Ave
Jamestown, NY 14701
Phone (716) 661-1400
890 E 2nd St
Jamestown, NY 14701
Phone (716) 661-1447
1465 Foote Avenue Ext
Jamestown, NY 14701
Phone (716) 526-4041
20 Gillis Ave
Unit 6
Ridgway, PA 15853
Phone (814) 772-5741
20 Gillis Ave
Ridgway, PA 15853
Phone (716) 526-4041
2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337
103 W Saint Clair St
Rm 2A
Warren, PA 16365
Phone (814) 723-1212
2 W Crescent Park
#P
Warren, PA 16365
Phone (814) 723-3300
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Jamestown, NY
- NPI 1770972036
-
- Family Medicine Physician
- Warren, PA
- NPI 1508803701
-
- Diagnostic Radiology Physician
- Warren, PA
- NPI 1811600307
-
- Federally Qualified Health Center (FQHC)
- Dunkirk, NY
- NPI 1760747521
-
- Psychiatry Physician
- Ridgway, PA
- NPI 1003505132
-
- Psychiatric Hospital Unit
- Warren, PA
- NPI 1265421721
-
- Medicare Defined Swing Bed Hospital Unit
- Warren, PA
- NPI 1407199227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1053687186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 INSTITUTE ST # NA",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147016628",
"telephone_number": "716-484-4334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 INSTITUTE ST # NA",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147016628",
"telephone_number": "716-484-4334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENTON",
"first_name": "LAURIE",
"middle_name": "ANN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-22",
"last_updated": "2024-07-16",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "574957-1",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F401506",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "PA",
"license": "SP014720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jamestown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.