Individual provider Active NPI

Laura Jean Hays, PHD, FPMH-NP, RXN

  • Psychiatric/Mental Health Nurse Practitioner
  • Alamosa, CO
National Provider Identifier
1477853133
Registry record updated May 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP 5376 Issued in CO
Practice address
309 San Juan
Alamosa, CO 81101-2552
Phone
(303) 912-0932
NPI assigned
Oct 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X RN 63541 CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP 5376 CO Primary

Addresses

Primary practice location

309 San Juan
Alamosa, CO 81101-2552

Mailing address

304 San Juan Ave
Alamosa, CO 81101-2552
Phone (303) 912-0932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20130510000552 CO Practitioner - Nurse Practitioner 7012154016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

304 San Juan Ave
Alamosa, CO 81101-2552
Phone (303) 912-0932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
RN 63541COMDChild & Adolescent Psychiatric/Mental Health Registered Nurse
NP 5376COMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Living Proof LLC Psychiatric/Mental Health CurrentSince Aug 21, 2017 Accepting new patients

Locations

309 San Juan Ave
Alamosa, CO 81101
Phone (253) 720-4377

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494028800000",
    "number": "1477853133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 SAN JUAN AVE",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012552",
            "telephone_number": "303-912-0932",
            "fax_number": "719-937-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 SAN JUAN",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012552",
            "telephone_number": "303-912-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYS",
        "first_name": "LAURA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PHD, FPMH-NP, RXN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-28",
        "last_updated": "2017-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "CO",
            "license": "RN 63541",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "NP 5376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamosa, CO

Sources for this page

Verify at the official NPI Registry.