Hometown Family Health

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HOMETOWN FAMILY HEALTH

Doing business as

Hometown Family Health

Practice address

103 E Broadway Ave
Montesano, WA 98563-3703

Phone

(360) 249-8528

Fax

(888) 990-3893

NPI assigned

Sep 9, 2013

Last updated

Apr 4, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laura Raykowski, ARNPNPI 1407924566

Title

Sole Proprietor

Phone

(360) 249-8528

Specialties & licenses 3

Addresses

Other names 1

• Hometown Family Health Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Katherine Raykowski, ARNP

  • Primary Care Nurse Practitioner
  • Montesano, WA
  • NPI 1407924566
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1326473497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E BROADWAY AVE",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "985633703",
            "telephone_number": "360-249-8528",
            "fax_number": "888-990-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E BROADWAY AVE",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "985633703",
            "telephone_number": "360-249-8528",
            "fax_number": "888-990-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN FAMILY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "RAYKOWSKI",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "360-249-8528",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Family Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hometown Family Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lance Gunter, D.D.S.
• Megan Renee Hammon, PTA
• Joshua Yosemite Haney, LMT
• Janet Hanson
• Don Hoefert Jr., PTA
• Kendra Danielle Hyde, 60978136OTA.OC
• Brittany Ann Jackson, PT, DPT
• Grant Wells Jackson, MD
• Stephanie Janssen, LMHCA
• Brooke Mercedes Joaquin

• Family Medicine Physician in Montesano, WA
• Providers in Montesano, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.