Active NPI
Lauri Mikrut
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Buffalo, NY
National Provider Identifier
1306377130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 631262
- Practice address
- 88 Slate Creek Dr
12
Buffalo, NY 14227-2862 - Phone
- (716) 473-2697
- NPI assigned
- Mar 23, 2017
- 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 |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 631262 | NY | Primary |
Addresses
Primary practice location
88 Slate Creek Dr
12
Buffalo, NY 14227-2862
Mailing address
88 Slate Creek Dr
12
Buffalo, NY 14227-2862
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 631262 | Other | NY | NYS |
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 |
|---|---|---|---|
| 631262 | NY | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490227200000",
"number": "1306377130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 SLATE CREEK DR",
"address_2": "12",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142272862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 SLATE CREEK DR",
"address_2": "12",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142272862",
"telephone_number": "716-473-2697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKRUT",
"first_name": "LAURI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-23",
"last_updated": "2017-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "NY",
"license": "631262",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS",
"identifier": "631262",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.