Individual provider Active NPI

Laura Paul, FNP

  • Family Nurse Practitioner
  • Bath, NY
National Provider Identifier
1073979548
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348877 Issued in NY
Practice address
6890 County Route 113
Bath, NY 14810-7829
Phone
(607) 776-3063
NPI assigned
Jan 13, 2016
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.18562-NP OH
Family Nurse Practitioner 363LF0000X 348877 NY Primary

Addresses

Primary practice location

6890 County Route 113
Bath, NY 14810-7829

Mailing address

601B W Washington St
Geneva, NY 14456-2119
Phone (315) 787-8151

Other practice location 1

280 Pattonsville Rd
Jackson, OH 45640-9452
Phone (855) 446-5937

Other identifiers 1

IdentifierTypeStateIssuer
0157210MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address laura.paul.1@17389.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NY2 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
I20160217002226 OH Practitioner - Nurse Practitioner 6305141011 Reassigns benefits to 3 organizations
I20240219001847 NY Practitioner - Nurse Practitioner 6305141011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
At Your Door Visiting Healthcare Services LLCGroup PAC ID 0042522344, 37 clinicians

Practice addresses (Care Compare)

314 Agler Rd
Columbus, OH 43230-2546
Phone (614) 284-4114

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP CurrentSince Aug 1, 2025 Accepting new patients
Finger Lakes Community Health Current Accepting new patients
Finger Lakes Community Health CurrentSince Dec 6, 2023 Accepting new patients
Ayd - Value Based Services LLC Family CurrentSince Dec 1, 2025 Accepting new patients
Finger Lakes Community Health CurrentSince Dec 6, 2023 Accepting new patients
At Your Door Visiting Healthcare Services, LLC Family CurrentSince Jun 1, 2025 Accepting new patients
Health First Medical Center CurrentSince Jun 1, 2025 Accepting new patients

Locations

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

6890 County Route 113
Bath, NY 14810
Phone (607) 776-3063

601B W Washington St
Geneva, NY 14456
Phone (315) 781-8448

2245 N Bank Dr
Columbus, OH 43220
Phone (614) 451-2151

1302 Millville Ave
Hamilton, OH 45013
Phone (513) 867-4100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26301/brand/1/csg/1/fhir/r4
  • Direct secure messaging: laura.paul.1@16701.direct.athenahealth.com
  • Direct secure messaging: laura.paul.1@26689.direct.athenahealth.com
  • Direct secure messaging: lpaul@hiemail.healtheconnections.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1073979548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601B W WASHINGTON ST",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562119",
            "telephone_number": "315-787-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6890 COUNTY ROUTE 113",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148107829",
            "telephone_number": "607-776-3063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Pattonsville Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "OH",
            "postal_code": "456409452",
            "country_code": "US",
            "telephone_number": "855-446-5937",
            "fax_number": "740-395-8834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUL",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-13",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.18562-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157210",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laura.paul.1@17389.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "280 Pattonsville Rd",
            "city": "Jackson",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456409452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bath, NY

Sources for this page

Verify at the official NPI Registry.