Individual provider Active NPI

Laurie Vollen, MD

  • Public Health & General Preventive Medicine Physician
  • Albany, CA
National Provider Identifier
1609490358
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
G62410 Issued in CA
Practice address
1201 Solano Ave
Albany, CA 94706-1753
Phone
(510) 550-7500
NPI assigned
May 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X G62410 CA Primary

Addresses

Primary practice location

1201 Solano Ave
Albany, CA 94706-1753

Mailing address

760 Wildcat Canyon Rd
Berkeley, CA 94708-1555
Phone (510) 292-6010

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.naturallyhealing.com

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G62410CAMDPublic Health & General Preventive Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1609490358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 WILDCAT CANYON RD",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947081555",
            "telephone_number": "510-292-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SOLANO AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061753",
            "telephone_number": "510-550-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLLEN",
        "first_name": "LAURIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "G62410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.naturallyhealing.com",
            "affiliation": "N",
            "address_1": "1201 Solano Ave",
            "city": "Albany",
            "state": "CA",
            "country_code": "US",
            "postal_code": "947061753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.