Active NPI
Clara Laurence, L.AC.
- Acupuncturist
- Fort Bragg, CA
National Provider Identifier
1255705265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 16702
- Practice address
- 100 E Manzanita St
Suite C
Fort Bragg, CA 95437-3054 - Phone
- (707) 813-0105
- NPI assigned
- Nov 15, 2015
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 16702 | CA | Primary |
Addresses
Primary practice location
100 E Manzanita St
Suite C
Fort Bragg, CA 95437-3054
Mailing address
11021 Gurley LN
Mendocino, CA 95460-9584
Phone (707) 813-0105
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16702 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447545600000",
"number": "1255705265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11021 GURLEY LN",
"city": "MENDOCINO",
"state": "CA",
"postal_code": "954609584",
"telephone_number": "707-813-0105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E MANZANITA ST",
"address_2": "SUITE C",
"city": "FORT BRAGG",
"state": "CA",
"postal_code": "954373054",
"telephone_number": "707-813-0105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURENCE",
"first_name": "CLARA",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-15",
"last_updated": "2015-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "16702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Bragg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.