Laurie Brockelman, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

062618-23 Issued in NH

Practice address

462 Route 119 East
Fitzwilliam, NH 03447-3149

Phone

(603) 585-6788

NPI assigned

Apr 8, 2016

Last updated

Apr 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1437513140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 RTE 119 EAST",
            "city": "FITZ;WILLIAM",
            "state": "NH",
            "postal_code": "034473149",
            "telephone_number": "603-585-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 ROUTE 119 EAST",
            "city": "FITZWILLIAM",
            "state": "NH",
            "postal_code": "034473149",
            "telephone_number": "603-585-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKELMAN",
        "first_name": "LAURIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NH",
            "license": "062618-23",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NH",
            "license": "062618-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Aubuchon, MA
• Hannah Del Coppo
• Drew Consulting, LLC
• Mary M Drew, MS, MED, LSW
• Louise Ann Gurksnis, OTR
• Harmony Hill, PHARMD

• Gerontology Nurse Practitioner in Fitzwilliam, NH
• Providers in Fitzwilliam, NH by specialty
• Gerontology Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.