Individual provider Active NPI

Laura Hollister-Meadows, FNP-BC

  • Family Nurse Practitioner
  • Walla Walla, WA
National Provider Identifier
1477534972
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30007335 Issued in WA
Practice address
301 W Poplar St Ste 220
Walla Walla, WA 99362-2800
Phone
(509) 897-8300
Fax
(509) 897-6066
NPI assigned
Nov 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP30007335 WA Primary

Addresses

Primary practice location

301 W Poplar St Ste 220
Walla Walla, WA 99362-2800

Mailing address

301 W Poplar St Ste 220
Walla Walla, WA 99362-2800
Phone (509) 897-8300

Other practice location 1

8503 W Clearwater Ave Ste B
Kennewick, WA 99336-3100
Phone (509) 303-3428

Other practice location 2

112 Columbia Point Drive
Suite 103
Richland, WA 99352
Phone (509) 943-7997

Other identifiers 2

IdentifierTypeStateIssuer
8861064OtherWAMEDICARE RHC
9649039MedicaidWA

Other names 1

  • Miss Laura Ann Hollister Other 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
I20060906000118 WA Practitioner - Nurse Practitioner 2860496858 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services - WashingtonGroup PAC ID 2860552973, 266 clinicians

Practice addresses (Care Compare)

380 Chase Ave
Walla Walla, WA 99362-2924
Phone (509) 897-3333

Hospital & facility affiliations

  • Providence St Mary Medical Center Hospital, Walla Walla, WA, CCN 500002
  • St Anthony Hospital Hospital, Pendleton, OR, CCN 381319
  • Wallowa Memorial Hospital Hospital, Enterprise, OR, CCN 381306
  • Dayton General Hospital Hospital, Dayton, WA, CCN 501302
  • Grande Ronde Hospital Hospital, La Grande, OR, CCN 381321

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP30007335WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Washington CurrentSince Nov 4, 2024 Accepting new patients
Dermatology Solutions CurrentSince Mar 1, 2022 Accepting new patients
Providence Health & Services - Washington CurrentSince Nov 4, 2024 Accepting new patients
Kadlec Regional Medical Center CurrentSince Sep 1, 2023 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

4309 W 27th Pl
Ste 301
Kennewick, WA 99338
Phone (509) 222-2231

8503 W Clearwater Ave
Ste B
Kennewick, WA 99336
Phone (509) 374-4719

560 Gage Blvd
Ste 101206
Richland, WA 99352
Phone (509) 942-3286

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300

401 W Poplar St
Walla Walla, WA 99362
Phone (509) 522-5731

380 Chase Ave
Walla Walla, WA 99362
Phone (509) 526-3333

301 W Poplar St
Ste 220
Walla Walla, WA 99362
Phone (509) 522-1030

Organizations & group practices 6

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 8

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1477534972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W POPLAR ST STE 220",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622800",
            "telephone_number": "509-897-8300",
            "fax_number": "509-897-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W POPLAR ST STE 220",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993622800",
            "telephone_number": "509-897-8300",
            "fax_number": "509-897-6066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8503 W Clearwater Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993363100",
            "country_code": "US",
            "telephone_number": "509-303-3428",
            "fax_number": "509-579-0062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Columbia Point Drive",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "99352",
            "country_code": "US",
            "telephone_number": "509-943-7997",
            "fax_number": "509-943-7955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLISTER-MEADOWS",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30007335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RHC",
            "identifier": "8861064",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9649039",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "HOLLISTER",
            "middle_name": "ANN",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Walla Walla, WA

Sources for this page

Verify at the official NPI Registry.