Laura Marie Idrissou

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RNP307337 Issued in AZ

Practice address

503 E Placita Cuesco
Sahuarita, AZ 85629-8610

Phone

(520) 245-7160

NPI assigned

Aug 26, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Tucson Medical Investors LLC

  dba Life Care Center of Tucson

  • Skilled Nursing Facility
  • Tucson, AZ
  • NPI 1639576531

  Managing Control - Governing Body, Operational/Managerial Control

  CMS ownership

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.

• Arizona Acute Medical Services 1 PC

  • Hospitalist Physician
  • Phoenix, AZ
  • NPI 1154860674

  Single Specialty

  Medicare reassignment NPD
• Arizona Post-Acute Medical Services 1 PC

  • Hospitalist Physician
  • Phoenix, AZ
  • NPI 1093254419

  Single Specialty

  Medicare reassignment NPD
• CS Pacs 3 West LLC

  • Hospitalist Physician
  • Sunnyvale, CA
  • NPI 1073378238

  AZ, Single Specialty

  Medicare reassignment NPD
• NM Pacs 2 LLC

  • Hospitalist Physician
  • Albuquerque, NM
  • NPI 1366928749

  AZ, Single Specialty

  Medicare reassignment NPD
• Hospitalists of Arizona, LLC

  dba IPC - The Hospitalist Company

  • Hospitalist Physician
  • Phoenix, AZ
  • NPI 1578564860
  NPD (past)

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1659048627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 W SEA STAR DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857042536",
            "telephone_number": "520-245-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 E PLACITA CUESCO",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856298610",
            "telephone_number": "520-245-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDRISSOU",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "185183",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RNP307337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Yvonne Hinojosa, PHARMD
• Melissa Marie Hisey, FNP-C
• Kurt L Hoffman, MD
• Derrick Hughes
• Zarrina Denise Hunt, PTA
• Kalani Laura Ingram, SA-C
• Christine L. Jones, COTA/L
• Kenneth Jones
• Justin Dutton DMD PC (CopperMine Dental Studio)
• Kerry'S Medical Inc

• Family Nurse Practitioner in Sahuarita, AZ
• Providers in Sahuarita, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.