Active NPI
Laura Jean Stith, APRN
- Family Nurse Practitioner
- Hudson, OH
National Provider Identifier
1174622898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP04514
- Practice address
- 836 Ridgewood Blvd
Hudson, OH 44236-1686 - Phone
- (866) 389-2727
- Fax
- (612) 659-7101
- NPI assigned
- Sep 21, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP04514 | OH | Primary |
Addresses
Primary practice location
836 Ridgewood Blvd
Hudson, OH 44236-1686
Mailing address
836 Ridgewood Blvd
Hudson, OH 44236-1686
Phone (330) 656-3552
Other names 1
- Laura Jean McNulty
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
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP04514 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Alok Bhaiji | 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 and National Provider Directory roles.
-
- Chiropractor
- Elyria, OH
- NPI 1023482841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174622898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 RIDGEWOOD BLVD",
"city": "HUDSON",
"state": "OH",
"postal_code": "442361686",
"telephone_number": "330-656-3552",
"fax_number": "612-659-7101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 RIDGEWOOD BLVD",
"city": "HUDSON",
"state": "OH",
"postal_code": "442361686",
"telephone_number": "866-389-2727",
"fax_number": "612-659-7101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STITH",
"first_name": "LAURA",
"middle_name": "JEAN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "NP04514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "MCNULTY",
"middle_name": "JEAN",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hudson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.