Individual provider Active NPI

Laurie Ann Sorge, LAURIE SORGE N.P.

  • Gerontology Nurse Practitioner
  • Fairport, NY
National Provider Identifier
1255508479
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
340452 Issued in NY
Practice address
14 Pleasant St
Fairport, NY 14450-1510
Phone
(585) 425-1153
Fax
(585) 223-0018
NPI assigned
May 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 340452 NY Primary

Addresses

Primary practice location

14 Pleasant St
Fairport, NY 14450-1510

Mailing address

14 Pleasant St
Fairport, NY 14450-1510
Phone (585) 425-1153

Other names 1

  • Laurie Sorge Professional name

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
340452NYMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1255508479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PLEASANT ST",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144501510",
            "telephone_number": "585-425-1153",
            "fax_number": "585-223-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PLEASANT ST",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144501510",
            "telephone_number": "585-425-1153",
            "fax_number": "585-223-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORGE",
        "first_name": "LAURIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LAURIE SORGE N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "340452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "SORGE",
            "credential": "LAURIE SORGE N.P.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fairport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.