Individual provider Active NPI

Laura Katherine Raykowski, ARNP

  • Primary Care Nurse Practitioner
  • Montesano, WA
National Provider Identifier
1407924566
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP30006830 Issued in WA
Practice address
103 E Broadway Ave
Hometown Family Health
Montesano, WA 98563-3703
Phone
(360) 249-8528
Fax
(360) 249-8541
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP30006830 WA Primary

Addresses

Primary practice location

103 E Broadway Ave
Hometown Family Health
Montesano, WA 98563-3703

Mailing address

103 E Broadway Ave
Hometown Family Health
Montesano, WA 98563-3703
Phone (360) 249-8528

Other names 1

  • Laura Katherine Holmes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20050322000517 WA Practitioner - Nurse Practitioner 2466407531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Oregon Health Sciences University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

103 E Broadway Ave
Montesano, WA 98563-3703
Phone (360) 249-8528

Hospital & facility affiliations

  • Harbors Home Health / Hospice Home health agency, Hoquiam, WA, CCN 507020
  • Grays Harbor Community Hospital Hospital, Aberdeen, WA, CCN 500031
  • Summit Pacific Medical Center Hospital, Elma, WA, CCN 501304

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Family Health Primary Care CurrentSince Nov 10, 2013 Accepting new patients
Columbia Capital Medical Center LP Past Accepting new patients
Coastal Family Medicine Inc. P.S. Past Accepting new patients

Locations

515 W Main St
Elma, WA 98541
Phone (360) 482-5298

103 E Broadway Ave
Montesano, WA 98563
Phone (360) 249-8528

8513 NE Hazel Dell Ave
Ste 102
Vancouver, WA 98665
Phone (800) 594-8043

Interoperability endpoints

  • Direct secure messaging: laura.raykowski@332988044541956.direct.elationemr.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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1407924566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E BROADWAY AVE",
            "address_2": "HOMETOWN FAMILY HEALTH",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "985633703",
            "telephone_number": "360-249-8528",
            "fax_number": "360-291-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E BROADWAY AVE",
            "address_2": "HOMETOWN FAMILY HEALTH",
            "city": "MONTESANO",
            "state": "WA",
            "postal_code": "985633703",
            "telephone_number": "360-249-8528",
            "fax_number": "360-249-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYKOWSKI",
        "first_name": "LAURA",
        "middle_name": "KATHERINE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP30006830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "HOLMES",
            "middle_name": "KATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Montesano, WA

Sources for this page

Verify at the official NPI Registry.