Individual provider Active NPI

Laura Lea Segrest, FNP

  • Family Nurse Practitioner
  • Meridian, MS
National Provider Identifier
1124275862
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R684813 Issued in MS
Practice address
1800 12TH St
Meridian, MS 39301-4158
Phone
(601) 703-4366
Fax
(601) 703-4064
NPI assigned
Aug 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R684813 MS Primary

Addresses

Primary practice location

1800 12TH St
Meridian, MS 39301-4158

Mailing address

1800 12TH St
Meridian, MS 39301-4158
Phone (601) 703-4366

Other identifiers 1

IdentifierTypeStateIssuer
01124399MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TX2 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
I20090218000041 MS Practitioner - Nurse Practitioner 6709850985 Reassigns benefits to 3 organizations
I20201023001405 TX Practitioner - Nurse Practitioner 6709850985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1102 Constitution Ave
Meridian, MS 39301-4001
Phone (601) 703-5600

Hospital & facility affiliations

  • Neshoba County General Hospital Hospital, Philadelphia, MS, CCN 250043
  • Neshoba County General Hospital Hospital, Philadelphia, MS, CCN 251340
  • Choctaw Health Center Hospital, Philadelphia, MS, CCN 250127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R684813MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi Band of Choctaw Indians CurrentSince Aug 12, 2020 Accepting new patients
Mississippi Band of Choctaw Indians CurrentSince Aug 12, 2020 Accepting new patients
Mississippi Band of Choctaw Indians Current Accepting new patients
Community Care Health Network LLC CurrentSince Aug 1, 2021 Accepting new patients
The Columbus Orthopaedic Clinic, P.a. CurrentSince Oct 1, 2025 Accepting new patients
The Columbus Orthopaedic Clinic, P.a. CurrentSince Oct 1, 2025 Accepting new patients
Alpha-Omega Hospice LLC PastSince Oct 2, 2004 Accepting new patients
The Columbus Orthopaedic Clinic, P.a. Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

210 Hospital Cir
Choctaw, MS 39350
Phone (601) 389-4500

670 Leigh Dr
Columbus, MS 39705
Phone (662) 327-4540

232 Market St
Jackson, MS 39232
Phone (588) 498-6767

1102 Constitution Ave
Meridian, MS 39301
Phone (601) 693-2511

1001 Holland Ave
Philadelphia, MS 39350
Phone (601) 663-1200

Interoperability endpoints

  • Direct secure messaging: laura.segrest.p1@direct.magnoliamedical.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1124275862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 12TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014158",
            "telephone_number": "601-703-4366",
            "fax_number": "601-703-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 12TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014158",
            "telephone_number": "601-703-4366",
            "fax_number": "601-703-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGREST",
        "first_name": "LAURA",
        "middle_name": "LEA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2014-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R684813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01124399",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.