Active NPI
Laura Wasserman
- Nurse Practitioner
- Chapel Hill, NC
National Provider Identifier
1134572183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 258539
- Practice address
- 110 Culbreth Cir
Chapel Hill, NC 27516-9124 - Phone
- (202) 494-1778
- NPI assigned
- Jul 14, 2016
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 258539 | NC | Primary |
Addresses
Primary practice location
110 Culbreth Cir
Chapel Hill, NC 27516-9124
Mailing address
110 Culbreth Cir
Chapel Hill, NC 27516-9124
Phone (202) 494-1778
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258539 | NC | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468454400000",
"number": "1134572183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 CULBRETH CIR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275169124",
"telephone_number": "202-494-1778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 CULBRETH CIR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275169124",
"telephone_number": "202-494-1778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASSERMAN",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-14",
"last_updated": "2016-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "258539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.