Active NPI
Holly Laue, NP-C
- Nurse Practitioner
- Sullivan, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71004904A
- Practice address
- 2200 N Section St
Sullivan, IN 47882-7523 - Phone
- (812) 268-4311
- Fax
- (812) 268-6809
- NPI assigned
- May 28, 2014
- Last updated
- Sep 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71004904A | IN | Primary |
| Family Nurse Practitioner | 363LF0000X | 71004904A | IN |
Addresses
Primary practice location
2200 N Section St
Sullivan, IN 47882-7523
Mailing address
PO Box 10
Sullivan, IN 47882-0010
Phone (812) 268-4311
Other practice location 1
2418 16th St
Bedford, IN 47421-3049
Phone (812) 508-2418
Other practice location 2
1569 A St NE
Linton, IN 47441-1607
Phone (812) 846-3380
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000895639 | Other | IN | ANTHEM |
| 201234250 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | holly.laue.1@8793.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71004904A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FC Indiana, LLC | Nurse Practitioner | Current | Accepting new patients |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Sullivan County Community Hospital | Current | Accepting new patients | |
| Sullivan County Community Hospital | Current | Accepting new patients | |
| Sullivan County Community Hospital | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Sullivan Family Practice, LLC | Current | Accepting new patients | |
| FC Indiana, LLC | Current | Accepting new patients | |
| Regional Hospital Healthcare Partners LLC | Past | Accepting new patients | |
| Mso Clinics, Inc. | Past | Accepting new patients |
Locations
2418 16th St
Bedford, IN 47421
Phone (812) 278-3154
1317 N State St
Greenfield, IN 46140
Phone (317) 967-2167
4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510
1569 A St NE
Linton, IN 47441
Phone (812) 846-3380
2186 N Hospital Blvd
Ste 2
Sullivan, IN 47882
Phone (812) 268-3318
2200 N Section St
Sullivan, IN 47882
Phone (812) 268-6292
2200 N Section St
#A
Sullivan, IN 47882
Phone (812) 268-3318
2200 N Section St
Ste A
Sullivan, IN 47882
Phone (812) 268-6292
2200 N Section St
Ste B
Sullivan, IN 47882
2229 Mary Sherman Dr
Sullivan, IN 47882
Phone (812) 238-2100
211 US Highway 66 E
Tell City, IN 47586
Phone (812) 722-4380
Interoperability endpoints
- holly.laue.1@8793.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Hanover, IN
- NPI 1649770769
-
- Rural Health Clinic/Center
- Bedford, IN
- NPI 1841911591
-
dba Family Practice Associates of Sullivan County
- Rural Health Clinic/Center
- Sullivan, IN
- NPI 1447805965
-
- Critical Access Hospital Clinic/Center
- Sullivan, IN
- NPI 1487450698
-
- Clinic/Center
- Sullivan, IN
- NPI 1497363303
-
- Family Medicine Physician
- Sullivan, IN
- NPI 1770502981
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
-
dba Carlisle Medical Clinic
- Rural Health Clinic/Center
- Carlisle, IN
- NPI 1699194704
-
- Surgery Physician
- Terre Haute, IN
- NPI 1194968958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1255743076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10",
"city": "SULLIVAN",
"state": "IN",
"postal_code": "478820010",
"telephone_number": "812-268-4311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 N SECTION ST",
"city": "SULLIVAN",
"state": "IN",
"postal_code": "478827523",
"telephone_number": "812-268-4311",
"fax_number": "812-268-6809"
}
],
"practiceLocations": [
{
"address_1": "2418 16th St",
"address_purpose": "LOCATION",
"city": "Bedford",
"state": "IN",
"postal_code": "474213049",
"country_code": "US",
"telephone_number": "812-508-2418",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1569 A St NE",
"address_purpose": "LOCATION",
"city": "Linton",
"state": "IN",
"postal_code": "474411607",
"country_code": "US",
"telephone_number": "812-846-3380",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAUE",
"first_name": "HOLLY",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-28",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71004904A",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71004904A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000895639",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201234250",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "holly.laue.1@8793.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "AthenaHealthcare EHR",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "2200 N Section St Ste B",
"city": "Sullivan",
"state": "IN",
"country_code": "US",
"postal_code": "478827523",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sullivan, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.