Individual provider Active NPI

Laurie Luth, FNP-C

  • Primary Care Nurse Practitioner
  • Alpharetta, GA
National Provider Identifier
1568955433
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN185337 Issued in GA
Practice address
7185 Avalon Blvd
Alpharetta, GA 30009-2450
Phone
(678) 381-1420
NPI assigned
Jun 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN185337 GA Primary

Addresses

Primary practice location

7185 Avalon Blvd
Alpharetta, GA 30009-2450

Mailing address

7185 Avalon Blvd
Alpharetta, GA 30009-2450
Phone (678) 381-1420

Other practice location 1

3031 Maple Ln
Alpharetta, GA 30009-1576
Phone (770) 778-6185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20220217001573 GA Order and Referring Only - Nurse Practitioner 1052704939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN185337GAMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1568955433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7185 AVALON BLVD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092450",
            "telephone_number": "678-381-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7185 AVALON BLVD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092450",
            "telephone_number": "678-381-1420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3031 Maple Ln",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300091576",
            "country_code": "US",
            "telephone_number": "770-778-6185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUTH",
        "first_name": "LAURIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN185337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.