Individual provider Active NPI

Laura Theresa Ernst, RN, CNOR, RNFA

  • Registered Nurse
  • Clinton, IA
National Provider Identifier
1770726960
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
104607 Issued in IA
Practice address
2745 Lincoln Way
Clinton, IA 52732-7201
Phone
(563) 242-3208
Fax
(563) 242-4051
NPI assigned
Apr 17, 2009
Last updated
Apr 17, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 104607 IA Primary
Registered Nurse 163W00000X 041.351951 IL
Registered Nurse First Assistant 163WR0006X NA CO

Addresses

Primary practice location

2745 Lincoln Way
Clinton, IA 52732-7201

Mailing address

2745 Lincoln Way
Clinton, IA 52732-7201
Phone (563) 242-3208

Other names 1

  • Laura Theresa Ernst Other 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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
104607IAMDRegistered Nurse
041.351951ILMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239926400000",
    "number": "1770726960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 LINCOLN WAY",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527327201",
            "telephone_number": "563-242-3208",
            "fax_number": "563-242-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 LINCOLN WAY",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527327201",
            "telephone_number": "563-242-3208",
            "fax_number": "563-242-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERNST",
        "first_name": "LAURA",
        "middle_name": "THERESA",
        "credential": "RN, CNOR, RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "104607",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.351951",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "CO",
            "license": "NA",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "ERNST",
            "middle_name": "THERESA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clinton, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.