Laura Lynn Lavender, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

090629 Issued in IA

Practice address

5608 SW 9TH St
Des Moines, IA 50315-5003

Phone

(515) 285-3070

Fax

(515) 285-0820

NPI assigned

May 19, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1053985457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 SW 9TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503155003",
            "telephone_number": "515-298-3070",
            "fax_number": "515-285-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5608 SW 9TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503155003",
            "telephone_number": "515-285-3070",
            "fax_number": "515-285-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVENDER",
        "first_name": "LAURA",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "090629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "llavender@mgmhealthcare.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5608 SW 9th St",
            "city": "Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "503155003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathleen Marie Laurin, PHD, LP
• Susannah Lautensleger, RN
• Lucas Jacob Lautner, MD
• Kimberly Marie Lavallee, LPN
• Michael Lavelle, MSPT
• James Lavicky, DPT
• James Benjamin Law, D.O.
• Sakshi Lawande
• James Francis Lawler, MD
• Andrea Dianne Lawless

• All providers in Des Moines, IA
• Registered Nurse in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.