Active NPI
Laura Kimberly Gaetano, RN
- Registered Nurse
- Savannah, GA
National Provider Identifier
1487312781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 242611
- Practice address
- 2 Johnny Mercer Blvd Apt 1001
Savannah, GA 31410-3336 - Phone
- (843) 302-1656
- NPI assigned
- Dec 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 242611 | GA | Primary |
Addresses
Primary practice location
2 Johnny Mercer Blvd Apt 1001
Savannah, GA 31410-3336
Mailing address
2 Johnny Mercer Blvd Apt 1001
Savannah, GA 31410-3336
Phone (843) 302-1656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 242611 | Other | GA | REGISTERED NURSE |
Other names 1
- Ms. Laura Kimberly Willis
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.wheel.com | Health Information Exchange (HIE) |
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242611 | GA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638489600000",
"number": "1487312781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 JOHNNY MERCER BLVD APT 1001",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314103336",
"telephone_number": "843-302-1656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 JOHNNY MERCER BLVD APT 1001",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314103336",
"telephone_number": "843-302-1656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAETANO",
"first_name": "LAURA",
"middle_name": "KIMBERLY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-03",
"last_updated": "2021-12-03",
"certification_date": "2021-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "242611",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE",
"identifier": "242611",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.wheel.com",
"affiliation": "N",
"endpointDescription": "Wheel",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "Email",
"address_1": "2 Johnny Mercer Blvd Apt 1001",
"city": "Savannah",
"state": "GA",
"country_code": "US",
"postal_code": "314103336",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LAURA",
"last_name": "WILLIS",
"middle_name": "KIMBERLY",
"prefix": "MS.",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.