Individual provider Active NPI

Laura Conway, R.N., C.P.S.N.

  • Plastic Surgery Registered Nurse
  • Missoula, MT
National Provider Identifier
1164576146
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery Registered NurseTaxonomy code 163WS0121X
License
RN18431 Issued in MT
Practice address
2802 Great Northern Loop
Missoula, MT 59808-1738
Phone
(406) 728-3811
Fax
(406) 721-9141
NPI assigned
Jan 23, 2007
Last updated
Dec 4, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Registered Nurse 163WS0121X RN18431 MT Primary

Addresses

Primary practice location

2802 Great Northern Loop
Missoula, MT 59808-1738

Mailing address

2802 Great Northern Loop
Missoula, MT 59808-1738
Phone (406) 728-3811

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN18431MTMDPlastic Surgery Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Plastic Surgery Associates, PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1164576146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 GREAT NORTHERN LOOP",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081738",
            "telephone_number": "406-728-3811",
            "fax_number": "406-721-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 GREAT NORTHERN LOOP",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081738",
            "telephone_number": "406-728-3811",
            "fax_number": "406-721-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "LAURA",
        "credential": "R.N., C.P.S.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0121X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Plastic Surgery",
            "state": "MT",
            "license": "RN18431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.