Active NPI
Laura Ellen Holland, ANP
- Adult Health Nurse Practitioner
- Beaufort, NC
National Provider Identifier
1629099577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 900119
- Practice address
- 301 Jones Avenue
Beaufort, NC 28516 - Phone
- (252) 728-3252
- Fax
- (252) 728-3251
- NPI assigned
- Jul 23, 2006
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 900119 | NC | Primary |
Addresses
Primary practice location
301 Jones Avenue
Beaufort, NC 28516
Mailing address
301 Jones Avenue
Beaufort, NC 28516
Phone (252) 728-3252
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5907341 | Medicaid | NC | |
| 7004456 | Medicaid | NC | |
| 7004406 | Medicaid | NC |
Other names 1
- Laura Holland Gaulden
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
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North River Primecare PC | Adult Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373846400000",
"number": "1629099577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 JONES AVENUE",
"city": "BEAUFORT",
"state": "NC",
"postal_code": "28516",
"telephone_number": "252-728-3252",
"fax_number": "252-728-3251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 JONES AVENUE",
"city": "BEAUFORT",
"state": "NC",
"postal_code": "28516",
"telephone_number": "252-728-3252",
"fax_number": "252-728-3251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "LAURA",
"middle_name": "ELLEN",
"name_prefix": "Ms.",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-23",
"last_updated": "2013-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "900119",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5907341",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7004456",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7004406",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "GAULDEN",
"middle_name": "HOLLAND",
"credential": "ANP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Beaufort, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.