Laurie Teklits, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

283087 Issued in NC

Practice address

1655 Wake Dr Unit 101
Wake Forest, NC 27587-4746

Phone

(919) 556-4779

Fax

(919) 556-5277

NPI assigned

Oct 18, 2012

Last updated

Oct 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Laurie Wittmer Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: laurieteklits@wfpapllc.allscriptsdirect.net

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.

• Wake Forest Pediatric Associates, PLLC

  • Pediatrics Physician
  • Wake Forest, NC
  • NPI 1790782126
  Medicare reassignment NPD
• Wake Forest Pediatric Associates, PLLC

  dba WFPA, PLLC - Knightdale Pediatric Office

  • Pediatrics Physician
  • Knightdale, NC
  • NPI 1790973469
  NPD

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1720331465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 WAKE DR UNIT 101",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874746",
            "telephone_number": "919-556-4779",
            "fax_number": "919-556-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 WAKE DR UNIT 101",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874746",
            "telephone_number": "919-556-4779",
            "fax_number": "919-556-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEKLITS",
        "first_name": "LAURIE",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "283087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "283087",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "WITTMER",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• G. Taylor, M.D.
• Kathy Ann Taylor, LCSWA
• Leigh Taylor, DPT
• Mary Barker Taylor, D.C.
• Tei-Wake Forest OD PLLC (Heritage Eye Care, OD)
• Ashley Zeynep Telli, LCSWA
• Jordan Jae Terrones, DC
• Ashley Thao, LCSWA
• Angela Gardner Thatcher, PA-C
• The Compounding Shoppe &Farmacy,LLC

• Pediatric Nurse Practitioner in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.