Laurie Delores Marie Mansfield, RN

Primary specialty

Neonatal Intensive Care Registered NurseTaxonomy code 163WN0002X

License

515392 Issued in NY

Practice address

90 Hideaway LN
Brockport, NY 14420-9365

Phone

(585) 392-5190

NPI assigned

Jul 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1497954861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HIDEAWAY LN",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144209365",
            "telephone_number": "585-392-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 HIDEAWAY LN",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144209365",
            "telephone_number": "585-392-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSFIELD",
        "first_name": "LAURIE",
        "middle_name": "DELORES MARIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "NY",
            "license": "515392",
            "primary": true
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NY",
            "license": "515392",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02065209",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Maher, LMT
• Mary Dahl Maher, CNM
• Samantha Mahon
• Kimberley J. Maier, R.PH.
• Quinn Maloney
• Mary Mantegna, RN
• David Gerould Markham, L.C.S.W.
• Amy Dania Mason, LMT
• Alison McAvoy, PHARM.D
• Jason McClung, MD

• Neonatal Intensive Care Registered Nurse in Brockport, NY
• Providers in Brockport, NY by specialty
• Neonatal Intensive Care Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.