Individual provider Active NPI

Laura Kate Hoormann, FNP-BC

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1255672960
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17481 Issued in TN
Practice address
901 Riverfront Pkwy Ste 200
Chattanooga, TN 37402-2196
Phone
(423) 541-1444
Fax
(423) 541-3002
NPI assigned
Mar 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 154774 TN
Nurse Practitioner 363L00000X APN17481 TN
Family Nurse Practitioner 363LF0000X 17481 TN Primary

Addresses

Primary practice location

901 Riverfront Pkwy Ste 200
Chattanooga, TN 37402-2196

Mailing address

901 Riverfront Pkwy Ste 200
Chattanooga, TN 37402-2196
Phone (615) 308-2822

Other identifiers 2

IdentifierTypeStateIssuer
7100238000MedicaidKY
1531180MedicaidTN

Other names 1

  • Laura Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130503000509 TN Practitioner - Nurse Practitioner 7911144217 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
154774TNMDRegistered Nurse
17481TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
GLPS Staffing Solutions LLC CurrentSince Sep 25, 2018 Accepting new patients

Locations

623 Congress Pkwy S
Athens, TN 37303
Phone (423) 746-2245

353 New Shackle Island Rd
Ste 122B
Hendersonvlle, TN 37075
Phone (615) 822-2400

353 New Shackle Island Rd
Hendersonvlle, TN 37075
Phone (615) 822-0858

Interoperability endpoints

  • Direct secure messaging: laura.hoormann@237407481626628.direct.elationemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1255672960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 RIVERFRONT PKWY STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374022196",
            "telephone_number": "615-308-2822",
            "fax_number": "423-541-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 RIVERFRONT PKWY STE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374022196",
            "telephone_number": "423-541-1444",
            "fax_number": "423-541-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOORMANN",
        "first_name": "LAURA",
        "middle_name": "KATE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "154774",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN17481",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100238000",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1531180",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "JOHNSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.