Individual provider Active NPI

Laura Elizabeth Sierra, CNM

  • Advanced Practice Midwife
  • Davenport, IA
National Provider Identifier
1255680484
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
B-107562 Issued in IA
Practice address
1510 E Rusholme St
Davenport, IA 52803-2463
Phone
(563) 336-3000
Fax
(563) 344-1371
NPI assigned
Sep 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X B-107562 IA Primary

Addresses

Primary practice location

1510 E Rusholme St
Davenport, IA 52803-2463

Mailing address

500 W River Dr
Davenport, IA 52801-1014
Phone (563) 336-3000

Other practice location 1

1106 4th Ave
Moline, IL 61265-1231
Phone (563) 336-3000

Other practice location 2

500 W River Dr
Davenport, IA 52801-1014
Phone (563) 336-3000

Other identifiers 1

IdentifierTypeStateIssuer
1255680484MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140519000682 IA Practitioner - Certified Nurse Midwife (CNM) 1850514969 Reassigns benefits to 2 organizations
I20191202001352 IL Practitioner - Certified Nurse Midwife (CNM) 1850514969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Care IncGroup PAC ID 9830008895, shared by 17 NPIs, 56 clinicians
Genesis Health SystemGroup PAC ID 7214841436, 217 clinicians

Practice addresses (Care Compare)

1106 4TH Ave
Moline, IL 61265-1231
Phone (563) 327-2000

1227 E Rusholme St
Davenport, IA 52803-2459

1510 E Rusholme St
Edgerton Womens Health Center
Davenport, IA 52803-2463
Phone (563) 336-3000

619 5TH St
Durant, IA 52747-7737
Phone (563) 785-4487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
B-107562IAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Community Health Care Inc CurrentSince Apr 1, 2016 Accepting new patients
Genesis Health System CurrentSince Dec 2, 2022 Accepting new patients
Community Health Care, Inc CurrentSince Apr 1, 2016 Accepting new patients
Genesis Health System CurrentSince Dec 2, 2022 Accepting new patients
Community Health Care, Inc. Current Accepting new patients
Community Health Care, Inc. Current Accepting new patients
Community Health Care, Inc. Current Accepting new patients
Obstetrics and Gynecology Specialists PC PastSince Sep 3, 1991 Accepting new patients

Locations

925 S 4th St
Clinton, IA 52732
Phone (563) 205-3578

210 W 53rd St
Davenport, IA 52806
Phone (563) 386-3436

500 W River Dr
Davenport, IA 52801
Phone (563) 327-2035

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

1510 E Rusholme St
Davenport, IA 52803
Phone (563) 359-6633

619 5th St
Durant, IA 52747
Phone (563) 785-4487

2925 Cedar St
Ste 2
Muscatine, IA 52761
Phone (563) 263-7410

312 Iowa Ave
Muscatine, IA 52761
Phone (563) 264-8506

708 15th Ave
East Moline, IL 61244
Phone (309) 751-4023

1106 4th Ave
Moline, IL 61265
Phone (309) 623-4817

4101 John Deere Rd
Moline, IL 61265
Phone (309) 765-1600

2750 11th St
Rock Island, IL 61201
Phone (563) 327-2000

2200 3rd Ave
Rock Island, IL 61201
Phone (309) 779-2094

Interoperability endpoints

  • Direct secure messaging: lsierra635622@direct.ochin.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1036

Organizations & group practices 10

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": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1255680484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W RIVER DR",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528011014",
            "telephone_number": "563-336-3000",
            "fax_number": "563-336-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E RUSHOLME ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032463",
            "telephone_number": "563-336-3000",
            "fax_number": "563-344-1371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1106 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Moline",
            "state": "IL",
            "postal_code": "612651231",
            "country_code": "US",
            "telephone_number": "563-336-3000",
            "fax_number": "563-327-2045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W River Dr",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528011014",
            "country_code": "US",
            "telephone_number": "563-336-3000",
            "fax_number": "563-336-3125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIERRA",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-04",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IA",
            "license": "B-107562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255680484",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.