Individual provider Active NPI

Laura Conley-Prince, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Fife, WA
National Provider Identifier
1093179780
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61477208 Issued in WA
Practice address
2150 Freeman Rd E
Fife, WA 98424-3776
Phone
(253) 225-7666
Fax
(253) 785-7868
NPI assigned
Apr 8, 2016
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61477208 WA Primary

Addresses

Primary practice location

2150 Freeman Rd E
Fife, WA 98424-3776

Mailing address

2150 Freeman Rd E
Fife, WA 98424-3776
Phone (253) 225-7666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 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
I20160616001782 CA Practitioner - Nurse Practitioner 5092006312 Reassigns benefits to 3 organizations
I20250821002056 WA Practitioner - Nurse Practitioner 5092006312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2701 N 16TH St
Suite 316
Phoenix, AZ 85006-1266

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Innovations, Inc. CurrentSince Jun 6, 2025 Accepting new patients
Recovery Innovations Inc CurrentSince Oct 11, 2022 Accepting new patients
Recovery Innovations, Inc Current Accepting new patients
Mental Health Systems, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Emergency Medicine Specialists of Orange County CurrentSince Apr 15, 2016 Accepting new patients
Mental Health Systems, Inc. Current Accepting new patients
Recovery Innovations, Inc CurrentSince Oct 11, 2022 Accepting new patients
James E. Pierog, MD, Inc. Past Accepting new patients
Mental Health Systems, Inc. Past Accepting new patients

Locations

2701 N 16th St
Ste 316
Phoenix, AZ 85006

47915 Oasis St
Indio, CA 92201
Phone (760) 863-8600

1100 W Stewart Dr
Orange, CA 92868
Phone (714) 532-8620

9890 County Farm Rd
Ste 2
Riverside, CA 92503
Phone (951) 509-2499

9465 Farnham St
San Diego, CA 92123
Phone (858) 576-4311

2150 Freeman Rd E
Fife, WA 98424
Phone (253) 942-5644

2150 Freeman Rd E
Ste 1
Fife, WA 98424
Phone (253) 584-2300

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1093179780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 FREEMAN RD E",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984243776",
            "telephone_number": "253-225-7666",
            "fax_number": "253-785-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 FREEMAN RD E",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984243776",
            "telephone_number": "253-225-7666",
            "fax_number": "253-785-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY-PRINCE",
        "first_name": "LAURA",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-08",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61477208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fife, WA

Sources for this page

Verify at the official NPI Registry.