Active NPI
Susan Jean Laurent, M.D.
- Pediatrics Physician
- Novi, MI
National Provider Identifier
1245339381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301040801
- Practice address
- 23965 Novi Rd
Suite 100
Novi, MI 48375-3231 - Phone
- (248) 348-2100
- Fax
- (248) 348-4772
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301040801 | MI | Primary |
Addresses
Primary practice location
23965 Novi Rd
Suite 100
Novi, MI 48375-3231
Mailing address
23965 Novi Rd
Suite 100
Novi, MI 48375-3231
Phone (248) 348-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160428001570 | MI | Order and Referring Only - Pediatric Medicine | 2961701735 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245339381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23965 NOVI RD",
"address_2": "SUITE 100",
"city": "NOVI",
"state": "MI",
"postal_code": "483753231",
"telephone_number": "248-348-2100",
"fax_number": "248-348-4772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23965 NOVI RD",
"address_2": "SUITE 100",
"city": "NOVI",
"state": "MI",
"postal_code": "483753231",
"telephone_number": "248-348-2100",
"fax_number": "248-348-4772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURENT",
"first_name": "SUSAN",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301040801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novi, MI
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.