Individual provider Active NPI

D. Laurie Smith-Haugen, NP

  • Gerontology Nurse Practitioner
  • Fair Oaks, CA
National Provider Identifier
1710355433
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
95039268 Issued in CA
Practice address
6608 Mercy CT Ste B
Fair Oaks, CA 95628-3171
Phone
(916) 277-8881
Fax
(916) 244-8176
NPI assigned
Sep 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95047481 CA
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LG0600X 95039268 CA Primary

Addresses

Primary practice location

6608 Mercy CT Ste B
Fair Oaks, CA 95628-3171

Mailing address

6608 Mercy CT Ste B
Fair Oaks, CA 95628-3171
Phone (916) 277-8881

Other names 1

  • Dorothea Smith-Haugen Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95047481CAMDRegistered Nurse
95039268CAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sacramento Single Specialty 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": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1710355433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6608 MERCY CT STE B",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283171",
            "telephone_number": "916-277-8881",
            "fax_number": "916-244-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6608 MERCY CT STE B",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283171",
            "telephone_number": "916-277-8881",
            "fax_number": "916-244-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-HAUGEN",
        "first_name": "D. LAURIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95047481",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95039268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOROTHEA",
            "last_name": "SMITH-HAUGEN",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fair Oaks, CA

Sources for this page

Verify at the official NPI Registry.