Individual provider Active NPI

Laura Nicholson, MD

  • Pediatrics Physician
  • Billings, MT
National Provider Identifier
1730298449
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
7635 Issued in MT
Practice address
1232 N 30TH St Ste 100
Billings, MT 59101-0139
Phone
(406) 281-8700
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X 7635 MT
Pediatrics Physician 208000000X 7635 MT Primary

Addresses

Primary practice location

1232 N 30TH St Ste 100
Billings, MT 59101-0139

Mailing address

3401 Avenue E
Billings, MT 59102-6561
Phone (406) 281-8700

Other practice location 1

3401 Avenue E
Billings, MT 59102-6561
Phone (406) 281-8700

Other identifiers 1

IdentifierTypeStateIssuer
76704MedicaidMT

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

LicenseStateTypeSpecialty
7635MTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Childrens Clinic of Billings, PC Pediatrics PastSince Oct 4, 2020 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Organizations & group practices 2

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1730298449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 AVENUE E",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026561",
            "telephone_number": "406-281-8700",
            "fax_number": "406-281-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 N 30TH ST STE 100",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591010139",
            "telephone_number": "406-281-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 Avenue E",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591026561",
            "country_code": "US",
            "telephone_number": "406-281-8700",
            "fax_number": "406-281-8708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "LAURA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "MT",
            "license": "7635",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MT",
            "license": "7635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "76704",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.