Individual provider Active NPI

Laura Kalu, BSN, RN

  • Registered Nurse
  • Philadelphia, PA
National Provider Identifier
1396140570
Registry record updated Mar 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN659686 Issued in PA
Practice address
12401 Academy Rd
210
Philadelphia, PA 19154-1932
Phone
(888) 851-5967
Fax
(267) 538-6529
NPI assigned
Oct 29, 2014
Last updated
Mar 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2015

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X 26203601 PA
Personal Care Attendant 3747P1801X 26203601 PA
Home Health Aide 374U00000X 26203601 PA
Homemaker 376J00000X 26203601 PA
Nurse's Aide 376K00000X 26203601 PA
Registered Nurse 163W00000X RN659686 PA Primary

Addresses

Primary practice location

12401 Academy Rd
210
Philadelphia, PA 19154-1932

Mailing address

12401 Academy Rd
210
Philadelphia, PA 19154-1932
Phone (888) 851-5967

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN659686PAMDRegistered Nurse
26203601PAMDHomemaker

Practice roles

OrganizationSpecialtyStatusNew patients
Larie Home Care Services & Staffing Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425686400000",
    "number": "1396140570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 ACADEMY RD",
            "address_2": "210",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191541932",
            "telephone_number": "888-851-5967",
            "fax_number": "267-538-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 ACADEMY RD",
            "address_2": "210",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191541932",
            "telephone_number": "888-851-5967",
            "fax_number": "267-538-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALU",
        "first_name": "LAURA",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2015-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "PA",
            "license": "26203601",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "PA",
            "license": "26203601",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "PA",
            "license": "26203601",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "PA",
            "license": "26203601",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "PA",
            "license": "26203601",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN659686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2015; 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.