Organization Active NPI

Laura C Stankovic FNP-C, PLLC

  • Family Nurse Practitioner
  • Boulder City, NV
National Provider Identifier
1255035259
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LAURA C STANKOVIC FNP-C, PLLC
Practice address
806 Buchanan Blvd # 115-282
Boulder City, NV 89005-2130
Phone
(725) 245-9320
NPI assigned
Mar 27, 2023
Organization subpart
Yes
Parent organization
LAURA C STANKOVIC FNP-C, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Laura C Stankovic, FNP-CNPI 1619490570
Title
Nurse Practitioner
Phone
(725) 245-9320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

806 Buchanan Blvd # 115-282
Boulder City, NV 89005-2130

Mailing address

806 Buchanan Blvd # 115-282
Boulder City, NV 89005-2130

Other names 1

  • Simply Home Primary Care Doing business as

National Provider Directory

National Provider Directory
Part of
Laura C Stankovic FNP-C PLLC

Locations

806 Buchanan Blvd
#115282
Boulder City, NV 89005
Phone (725) 245-9320

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1255035259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 BUCHANAN BLVD # 115-282",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 BUCHANAN BLVD # 115-282",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052130",
            "telephone_number": "725-245-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA C STANKOVIC FNP-C, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAURA C STANKOVIC FNP-C, PLLC",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "STANKOVIC",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "725-245-9320",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simply Home Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boulder City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.