Laura Lynne Drake, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD.203842 Issued in LA

Practice address

9775 Highway 190
Suite F
Walker, LA 70785

Phone

(225) 243-7716

NPI assigned

Jun 11, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Strawberry Patch Pediatrics LLC

  • Rural Health Clinic/Center
  • Ponchatoula, LA
  • NPI 1346895638

  Pediatrics

  Medicare reassignment NPD
• Strawberry Patch Pediatrics LLC

  • Rural Health Clinic/Center
  • Amite, LA
  • NPI 1861088098
  NPD
• Pediatric Specialty Care, LLC

  • Pediatrics Physician
  • Slidell, LA
  • NPI 1184966798
  NPD (past)

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1174783344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9775 HIGHWAY 190",
            "address_2": "SUITE F",
            "city": "WALKER",
            "state": "LA",
            "postal_code": "70785",
            "telephone_number": "225-243-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9775 HIGHWAY 190",
            "address_2": "SUITE F",
            "city": "WALKER",
            "state": "LA",
            "postal_code": "70785",
            "telephone_number": "225-243-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "LAURA",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.203842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03774502",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1102768",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia Noelle Carter Davis, D.D.S.
• Lawrence Matthew Dawson Jr., O.D.
• Charles E. Delong, S.T
• Christopher Corey Dimattia, DPT
• Gina Dimattia, PHARMD
• Taylor Lawren Druery
• Michelle Engelhorn Duhe, M.D.
• Ruthie Dunn
• Meghan Dwyer, M.S., L-SLP, CCC-SLP
• Jenna Eppinette

• Pediatrics Physician in Walker, LA
• Providers in Walker, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.