Individual provider Active NPI

Laura Elizabeth Patten, RN, CDCES

  • Diabetes Educator Registered Nurse
  • Hailey, ID
National Provider Identifier
1386237071
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
44361 Issued in ID
Practice address
1450 Aviation Dr
Hailey, ID 83333-8785
Phone
(208) 727-8494
NPI assigned
Feb 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X 44361 ID Primary

Addresses

Primary practice location

1450 Aviation Dr
Hailey, ID 83333-8785

Mailing address

62 E Huyser Dr
Shoshone, ID 83352-5261
Phone (208) 293-6383

Other practice location 1

113 S Apple St
Shoshone, ID 83352-5287
Phone (208) 886-2224

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
44361IDMDDiabetes Educator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1386237071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 E HUYSER DR",
            "city": "SHOSHONE",
            "state": "ID",
            "postal_code": "833525261",
            "telephone_number": "208-293-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 AVIATION DR",
            "city": "HAILEY",
            "state": "ID",
            "postal_code": "833338785",
            "telephone_number": "208-727-8494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 S Apple St",
            "address_purpose": "LOCATION",
            "city": "Shoshone",
            "state": "ID",
            "postal_code": "833525287",
            "country_code": "US",
            "telephone_number": "208-886-2224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTEN",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "RN, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "ID",
            "license": "44361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hailey, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.