Active NPI
Laura J Hare, C.R.N.P.
- Family Nurse Practitioner
- Starkville, MS
National Provider Identifier
1114086584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R737881
- Practice address
- 500 Russell St
Suite 3
Starkville, MS 39759-3413 - Phone
- (662) 324-2244
- Fax
- (662) 324-2295
- NPI assigned
- Dec 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R737881 | MS | Primary |
Addresses
Primary practice location
500 Russell St
Suite 3
Starkville, MS 39759-3413
Mailing address
500 Russell Street,
Suite 3
Starkville, MS 39759-3613
Phone (662) 324-2244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00118665 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Team Management of Golden Triangle, LLC | Past | Accepting new patients | |
| Convenient Care Clinic, LLC | Family | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Nurse Practitioner
- Horn Lake, MS
- NPI 1851490841
-
- Primary Care Clinic/Center
- Nashville, TN
- NPI 1255767760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397174400000",
"number": "1114086584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 RUSSELL STREET,",
"address_2": "SUITE 3",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397593613",
"telephone_number": "662-324-2244",
"fax_number": "662-324-2295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 RUSSELL ST",
"address_2": "SUITE 3",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397593413",
"telephone_number": "662-324-2244",
"fax_number": "662-324-2295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARE",
"first_name": "LAURA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "C.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2014-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R737881",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00118665",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Starkville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.