Individual provider Active NPI

Laura Beth Hesterley, LPN

  • Licensed Practical Nurse
  • Cullman, AL
National Provider Identifier
1558085993
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
2-037771 Issued in AL
Practice address
70 Mitchell Rd NE
Cullman, AL 35055-5903
Phone
(256) 747-5825
Fax
(256) 737-8145
NPI assigned
Sep 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 2-037771 AL Primary

Addresses

Primary practice location

70 Mitchell Rd NE
Cullman, AL 35055-5903

Mailing address

70 Mitchell Rd NE
Cullman, AL 35055-5903
Phone (256) 747-5825

Other identifiers 1

IdentifierTypeStateIssuer
330000014MedicaidAL

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

State licenses

LicenseStateTypeSpecialty
2-037771ALMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1558085993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MITCHELL RD NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555903",
            "telephone_number": "256-747-5825",
            "fax_number": "256-737-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MITCHELL RD NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555903",
            "telephone_number": "256-747-5825",
            "fax_number": "256-737-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESTERLEY",
        "first_name": "LAURA",
        "middle_name": "BETH",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AL",
            "license": "2-037771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330000014",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.