Active NPI
Laura Cottrill
- Community Health Worker
- Lost Creek, WV
National Provider Identifier
1124605308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 180 Locust St
Lost Creek, WV 26385 - Phone
- (304) 641-6487
- NPI assigned
- Mar 25, 2021
- Last updated
- Mar 25, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | NU | Primary |
Addresses
Primary practice location
180 Locust St
Lost Creek, WV 26385
Mailing address
PO Box 414
Lost Creek, WV 26385-0414
Phone (304) 641-6487
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1124605308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 414",
"city": "LOST CREEK",
"state": "WV",
"postal_code": "263850414",
"telephone_number": "304-641-6487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 LOCUST ST",
"city": "LOST CREEK",
"state": "WV",
"postal_code": "26385",
"telephone_number": "304-641-6487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTRILL",
"first_name": "LAURA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-25",
"last_updated": "2021-03-25",
"certification_date": "2021-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lost Creek, WV
- Gina Cogis
- Sherry Ann Cogis
- Community Care of West Virginia, Inc. (South Harrison Middle School Wellness Center)
- Community Care of West Virginia, Inc. (South Harrison High School Wellness Center)
- Hunter Connolly
- Tracy Davis
- Valarie Anne Dunlevy, LMT
- Jessica Shane Rose Julia Esquivel
- Ricky Lynn Evans Jr.
- Family Matters Psychological Services PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.