Individual provider Active NPI

Karen Lynn St.Laurent, D.C.

  • Chiropractor
  • Worcester, MA
National Provider Identifier
1780660712
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2269 Issued in MA
Practice address
24 Holland Rd Apt 1
Worcester, MA 01603-1858
Phone
(978) 821-7054
Fax
(774) 208-0712
NPI assigned
Dec 21, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2269 MA Primary

Addresses

Primary practice location

24 Holland Rd Apt 1
Worcester, MA 01603-1858

Mailing address

24 Holland Rd Apt 1
Worcester, MA 01603-1858
Phone (978) 821-7054

Other identifiers 12

IdentifierTypeStateIssuer
1867401004OtherMACIGNA HEALTH CARE
1612913MedicaidMA
2859278OtherMAAETNA/US HEALTHCARE
27243OtherMANEIGHBORHOOD HEALTH PLAN
Y39715OtherMABC/BS OF MA GROUP ID
974044OtherMANETWORK HEALTH PLAN
4404288OtherMAUNITED HEALTH CARE
798431OtherMATUFTS HEALTH PLAN
9228734OtherMAPHCS
Y39835OtherMABC/BS OF MA GROUP ID
Y36596OtherMABC/BS OF MA INDIVIDUAL ID
351902OtherMAHARVARD PILGRIM ID

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

State licenses

LicenseStateTypeSpecialty
2269MAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1780660712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HOLLAND RD APT 1",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031858",
            "telephone_number": "978-821-7054",
            "fax_number": "774-208-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HOLLAND RD APT 1",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016031858",
            "telephone_number": "978-821-7054",
            "fax_number": "774-208-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST.LAURENT",
        "first_name": "KAREN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH CARE",
            "identifier": "1867401004",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1612913",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA/US HEALTHCARE",
            "identifier": "2859278",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "27243",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MA GROUP ID",
            "identifier": "Y39715",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH PLAN",
            "identifier": "974044",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "4404288",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "798431",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9228734",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MA GROUP ID",
            "identifier": "Y39835",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MA INDIVIDUAL ID",
            "identifier": "Y36596",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM ID",
            "identifier": "351902",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.