Annielyn Laurente

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

298283 Issued in CA

Practice address

247 E Bobier Dr
Vista, CA 92084-3026

Phone

(760) 945-3033

NPI assigned

May 8, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Robert Marriott Medical Corp

  dba Advantage Wound Care

  • Surgery Physician
  • El Segundo, CA
  • NPI 1083883938
  NPD (past)

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589068800000",
    "number": "1184246522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 TIDE CT",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111145",
            "telephone_number": "508-564-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 E BOBIER DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920843026",
            "telephone_number": "760-945-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURENTE",
        "first_name": "ANNIELYN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-10",
        "certification_date": "2020-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "298283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lao Abichaker Burns Dental Partnership (Smile Adventures)
• Michael Alan Larocque, M.D.
• Kayla Larot, BS, RBT
• Elise Lasko, DACM, L.AC.
• Laurel Counseling & Consultation Services
• Lissande Mercedes Laverty, PA-C
• Arthur Lawida, MS
• Russe Ella Munar Laxa, FNP-BC
• Ken Lay, OD
• Le & Le Dental Corporation (Santa Fe Dental Group)

• Physical Therapist in Vista, CA
• Providers in Vista, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2020; 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.