Active NPI
Laura K Hartman, M.D.
- Family Medicine Physician
- Greenville, NC
National Provider Identifier
1720109192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2014-02280
- Practice address
- 101 Heart Dr
Mailstop 654 Family Medicine
Greenville, NC 27834-8982 - Phone
- (252) 744-4611
- Fax
- (252) 744-0182
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2014-02280 | NC | Primary |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 2014-02280 | NC |
Addresses
Primary practice location
101 Heart Dr
Mailstop 654 Family Medicine
Greenville, NC 27834-8982
Mailing address
PO Box 751069
Greenville, NC 27834
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19PD1 | Other | NC | BCBS OF NC |
| NCV7040280 | Other | NC | MEDICARE |
| 1720109192 | Medicaid | NC |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014-02280 | NC | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506038400000",
"number": "1720109192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751069",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HEART DR",
"address_2": "MAILSTOP 654 FAMILY MEDICINE",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278348982",
"telephone_number": "252-744-4611",
"fax_number": "252-744-0182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTMAN",
"first_name": "LAURA",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2017-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2014-02280",
"primary": true
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "NC",
"license": "2014-02280",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "19PD1",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "NCV7040280",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720109192",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.