Laura Shannon Alexander
Individual provider Active NPI Home Health Aide · Blakely, GA
NPI 1275980930 · NPPES record last updated May 23, 2016
Key facts
- NPI
- 1275980930
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 220 Baptist Branch Rd # B
Blakely, GA 39823-2841 - Phone
- (229) 366-0145
- NPI assigned
- May 23, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
220 Baptist Branch Rd # B
Blakely, GA 39823-2841
Mailing address
220 Baptist Branch Rd # B
Blakely, GA 39823-2841
Phone (229) 366-0145
Other providers in Blakely, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.