Active NPI
Debra Jean Laurent, ARNP
- Nurse Practitioner
- Bellevue, WA
National Provider Identifier
1275568057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP30003462
- Practice address
- 1414 116TH Ave NE
Suite E
Bellevue, WA 98004-3801 - Phone
- (206) 215-4545
- Fax
- (206) 215-4550
- NPI assigned
- Jul 11, 2006
- 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 | RN00063031 | WA | |
| Nurse Practitioner | 363L00000X | AP30003462 | WA | Primary |
Addresses
Primary practice location
1414 116TH Ave NE
Suite E
Bellevue, WA 98004-3801
Mailing address
2701 1St Ave
Suite 320
Seattle, WA 98121-1123
Phone (206) 448-2516
Other practice location 1
550 17th Ave Ste 680
Seattle, WA 98122-5795
Phone (206) 215-4545
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9622341 | Medicaid | WA | |
| 0209222 | Other | WA | L & I |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dlaurent1042248@wm.providencedirect.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.46 of 100
- Quality
- 80.66
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30003462 | WA | MD | Nurse Practitioner |
| RN00063031 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellevue Heart and Vascular Center, LLC | Past | Accepting new patients | |
| Seattle Heart and Vascular Center, LLC | Past | Accepting new patients |
Interoperability endpoints
- dlaurent1042248@wm.providencedirect.org
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Bellevue, WA
- NPI 1023193687
-
- Cardiovascular Disease Physician
- Seattle, WA
- NPI 1245315894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636588800000",
"number": "1275568057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 1ST AVE",
"address_2": "SUITE 320",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981211123",
"telephone_number": "206-448-2516",
"fax_number": "206-448-6473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 116TH AVE NE",
"address_2": "SUITE E",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043801",
"telephone_number": "206-215-4545",
"fax_number": "206-215-4550"
}
],
"practiceLocations": [
{
"address_1": "550 17th Ave Ste 680",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981225795",
"country_code": "US",
"telephone_number": "206-215-4545",
"fax_number": "206-215-4550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAURENT",
"first_name": "DEBRA",
"middle_name": "JEAN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2021-11-11",
"certification_date": "2021-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "RN00063031",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30003462",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9622341",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0209222",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dlaurent1042248@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "550 17th Ave Ste 680",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981225795",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.