Individual provider Active NPI

Laurea M Simonds, PA-C

  • Physician Assistant
  • Dover, NH
National Provider Identifier
1720021595
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0493 Issued in NH
Practice address
113 New Rochester Road
Suite 2
Dover, NH 03820
Phone
(603) 742-6555
Fax
(603) 742-3256
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0493P NH
Physician Assistant 363A00000X 0493 NH Primary

Addresses

Primary practice location

113 New Rochester Road
Suite 2
Dover, NH 03820

Mailing address

113 New Rochester Road
Suite 2
Dover, NH 03820
Phone (603) 742-6555

Other identifiers 1

IdentifierTypeStateIssuer
30332543MedicaidNH

Other names 1

  • Ms. Laurea M Whiton Former name

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9137NYMDClinical Psychologist
0493PNHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph D. White Ear, Nose, Throat Medicine & Surgery PC CurrentSince Dec 1, 2003 Accepting new patients
Family Ear Nose and Throat Care PC PastSince Oct 1, 2003 Accepting new patients
Incare LLC PastSince Feb 1, 2022 Accepting new patients
Incare Tufts PLLC Past Accepting new patients

Locations

158 NH Route 108
#B
Dover, NH 03820
Phone (603) 742-6555

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFBDD
  • FHIR API: https://api.platform.athenahealth.com/18780/brand/1/csg/1/fhir/r4

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1720021595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 NEW ROCHESTER ROAD",
            "address_2": "SUITE 2",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "03820",
            "telephone_number": "603-742-6555",
            "fax_number": "603-742-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 NEW ROCHESTER ROAD",
            "address_2": "SUITE 2",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "03820",
            "telephone_number": "603-742-6555",
            "fax_number": "603-742-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONDS",
        "first_name": "LAUREA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0493P",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30332543",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREA",
            "last_name": "WHITON",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.