Individual provider Active NPI

Laura Michele Quarino, NP

  • Family Nurse Practitioner
  • Bolivia, NC
National Provider Identifier
1710087226
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0050-01305 Issued in NC
Practice address
25 Courthouse Dr
Bolivia, NC 28422-0009
Phone
(910) 253-2250
Fax
(910) 253-2339
NPI assigned
Sep 24, 2006
Last updated
Feb 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0050-01305 NC Primary

Addresses

Primary practice location

25 Courthouse Dr
Bolivia, NC 28422-0009

Mailing address

PO Box 9
Bolivia, NC 28422-0009
Phone (910) 253-2250

Other identifiers 1

IdentifierTypeStateIssuer
7004328MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20070208000204 NC Practitioner - Nurse Practitioner 9234131970 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0050-01305NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Brunswick CurrentSince Feb 9, 2016 Accepting new patients
County of Brunswick CurrentSince Feb 9, 2016 Accepting new patients
County of Brunswick Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lquarino@brunswick.curemd.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1710087226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284220009",
            "telephone_number": "910-253-2250",
            "fax_number": "910-253-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 COURTHOUSE DR",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284220009",
            "telephone_number": "910-253-2250",
            "fax_number": "910-253-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUARINO",
        "first_name": "LAURA",
        "middle_name": "MICHELE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "0050-01305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004328",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolivia, NC

Sources for this page

Verify at the official NPI Registry.