Individual provider Active NPI

Laura A Sadeghi, CNP

  • Adult Health Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1669536934
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5006639 Issued in NC
Practice address
3416 Poole Rd Ste 120
Raleigh, NC 27610-2918
Phone
(919) 902-7366
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 5006639 NC Primary
Nurse Practitioner 363L00000X APRNCNP0041593 OH

Addresses

Primary practice location

3416 Poole Rd Ste 120
Raleigh, NC 27610-2918

Mailing address

PO Box 746724
Atlanta, GA 30374-6724

Other practice location 1

2020 Eakin Rd Ste 100
Columbus, OH 43223-3572
Phone (614) 300-9001

Other practice location 2

Kent State University Health Services
Eastway Drive
Kent, OH 44242-0001
Phone (330) 672-8248

Other identifiers 1

IdentifierTypeStateIssuer
2503562MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140321001249 NC Practitioner - Nurse Practitioner 3476784174 Reassigns benefits to 1 organization
I20260408003286 OH Practitioner - Nurse Practitioner 3476784174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh-Oh Physicians Group PCGroup PAC ID 1759639693, 67 clinicians

Practice addresses (Care Compare)

2020 Eakin Rd
Suite 100
Columbus, OH 43223-3572
Phone (614) 300-9001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRNCNP0041593OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Physician Group PLLC CurrentSince May 1, 2026 Accepting new patients
Osh-Mi Physicians Group PC Adult Health CurrentSince Apr 28, 2025 Accepting new patients
Osh Mi Physicians Group, PC CurrentSince Apr 28, 2025 Accepting new patients
Osh-Oh Physicians Group PC Nurse Practitioner CurrentSince May 1, 2026 Accepting new patients

Locations

3250 Freedom Dr
Charlotte, NC 28208
Phone (704) 394-0118

3416 Poole Rd
Ste 120
Raleigh, NC 27610
Phone (919) 902-7366

2020 Eakin Rd
Ste 100
Columbus, OH 43223
Phone (614) 300-9001

Organizations & group practices 4

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1669536934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746724",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 POOLE RD STE 120",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102918",
            "telephone_number": "919-902-7366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Eakin Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432233572",
            "country_code": "US",
            "telephone_number": "614-300-9001",
            "fax_number": "614-675-7824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Kent State University Health Services",
            "address_2": "Eastway Drive",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "OH",
            "postal_code": "442420001",
            "country_code": "US",
            "telephone_number": "330-672-8248",
            "fax_number": "330-672-2272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADEGHI",
        "first_name": "LAURA",
        "middle_name": "A",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5006639",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRNCNP0041593",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2503562",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.