Laura Minarich

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F1015361 Issued in IL

Practice address

28201 Diehl Rd
Warrenville, IL 60555-3934

Phone

(360) 657-5555

NPI assigned

Oct 26, 2015

Last updated

Apr 29, 2016By the provider in NPPES

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 names 1

• Laura Wagner Former name

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1063884344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28201 DIEHL RD",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28201 DIEHL RD",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553934",
            "telephone_number": "360-657-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINARICH",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "F1015361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "WAGNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alyssa Micek, PA-C
• Midwest Neurosurgery & Spine Specialists, PC
• Lynn M Miglets, SLP-CCC, MMEDSCI
• Mary E Miller, LPN
• Kimberley Milton, LCSW
• Julie Louise Minning, M.A, CCC-SLP
• David M Mochel, MD
• Nasiruddin Mohammed
• Molly Jo Counseling & Art Therapy Inc
• Abbie Jean Moore, COTA

• Family Nurse Practitioner in Warrenville, IL
• Providers in Warrenville, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.