Individual provider Active NPI

Marsha Laakmann, RN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Hauppauge, NY
National Provider Identifier
1710009832
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
390540-1 Issued in NY
Practice address
Hauppauge Clinic
200 Wireless Blvd.
Hauppauge, NY 11788-0000
Phone
(631) 853-7373
Fax
(631) 853-7380
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 390540-1 NY Primary

Addresses

Primary practice location

Hauppauge Clinic
200 Wireless Blvd.
Hauppauge, NY 11788-0000

Mailing address

75 Everett St
Patchogue, NY 11772-1734
Phone (631) 289-6125

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
390540-1NYMDAddiction (Substance Use Disorder) Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710009832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 EVERETT ST",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721734",
            "telephone_number": "631-289-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HAUPPAUGE CLINIC",
            "address_2": "200 WIRELESS BLVD.",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117880000",
            "telephone_number": "631-853-7373",
            "fax_number": "631-853-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAAKMANN",
        "first_name": "MARSHA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "390540-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.