Active NPI
Elaine Marie Laemmrich, FNP, MSN, RN
- Family Nurse Practitioner
- Flagstaff, AZ
National Provider Identifier
1598070690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP3747
- Practice address
- 107 E Oak Ave
Suite 201
Flagstaff, AZ 86001-1818 - Phone
- (928) 913-8800
- Fax
- (928) 913-8801
- NPI assigned
- Aug 12, 2010
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP3747 | AZ | Primary |
Addresses
Primary practice location
107 E Oak Ave
Suite 201
Flagstaff, AZ 86001-1818
Mailing address
1200 N Beaver St
Payer Credentialing
Flagstaff, AZ 86001-3118
Phone (928) 773-2559
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 585415 | Medicaid | AZ |
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP3747 | AZ | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449446400000",
"number": "1598070690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N BEAVER ST",
"address_2": "PAYER CREDENTIALING",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860013118",
"telephone_number": "928-773-2559",
"fax_number": "928-213-6292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 E OAK AVE",
"address_2": "SUITE 201",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860011818",
"telephone_number": "928-913-8800",
"fax_number": "928-913-8801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAEMMRICH",
"first_name": "ELAINE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "FNP, MSN, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-12",
"last_updated": "2015-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP3747",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "585415",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.