Individual provider Active NPI

Laura Ann Laster, APRN, FNP

  • Family Nurse Practitioner
  • Lansing, IL
National Provider Identifier
1154962249
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209020064 Issued in IL
Practice address
3135 190TH St
Lansing, IL 60438-3455
Phone
(218) 851-5101
NPI assigned
Oct 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041446344 IL
Registered Nurse 163W00000X 28225021A IN
Family Nurse Practitioner 363LF0000X 209020064 IL Primary

Addresses

Primary practice location

3135 190TH St
Lansing, IL 60438-3455

Mailing address

3135 190TH St
Lansing, IL 60438-3455
Phone (218) 851-5101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230214001203 IL Practitioner - Nurse Practitioner 5193197424 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28225021AINMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Jan 31, 2023 Accepting new patients
Harmonycares Complete Health Services, PLLC CurrentSince Dec 1, 2025 Accepting new patients
Kemell Health LLC CurrentSince Jan 30, 2023 Accepting new patients
Vpa PC CurrentSince Jan 31, 2023 Accepting new patients

Locations

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1154962249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3135 190TH ST",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383455",
            "telephone_number": "218-851-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3135 190TH ST",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604383455",
            "telephone_number": "218-851-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASTER",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "credential": "APRN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041446344",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28225021A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209020064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, IL

Sources for this page

Verify at the official NPI Registry.