Individual provider Active NPI

Laura Marie Lazenby, FNP

  • Nurse Practitioner
  • Quincy, CA
National Provider Identifier
1356438667
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
20801 Issued in CA
Practice address
1065 Bucks Lake Rd
Quincy, CA 95971-9507
Phone
(530) 283-7161
Fax
(530) 283-7953
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN000684 NV
Nurse Practitioner 363L00000X 20801 CA Primary

Addresses

Primary practice location

1065 Bucks Lake Rd
Quincy, CA 95971-9507

Mailing address

1065 Bucks Lake Rd
Quincy, CA 95971-9507
Phone (530) 283-7161

Other identifiers 1

IdentifierTypeStateIssuer
P00612080OtherNVRAILROAD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address llazenby@PDH.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170922002369 CA Practitioner - Nurse Practitioner 9739356049 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Plumas District Hospital CurrentSince Jul 17, 2017 Accepting new patients
Plumas District Hospital CurrentSince Jul 17, 2017 Accepting new patients
Specialty Health Clinic PastSince Oct 24, 2016 Accepting new patients

Locations

1065 Bucks Lake Rd
Quincy, CA 95971
Phone (530) 283-2121

Interoperability endpoints

  • Direct secure messaging: llazenby@pdh.cernerdirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1356438667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 BUCKS LAKE RD",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "959719507",
            "telephone_number": "530-283-7161",
            "fax_number": "530-283-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 BUCKS LAKE RD",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "959719507",
            "telephone_number": "530-283-7161",
            "fax_number": "530-283-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZENBY",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APN000684",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "20801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00612080",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "llazenby@PDH.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Plumas District Hospital Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1065 BUCKS LAKE RD",
            "city": "QUINCY",
            "state": "CA",
            "country_code": "US",
            "postal_code": "959719507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Quincy, CA

Sources for this page

Verify at the official NPI Registry.