Laura George

Key facts

NPI

1780914515

Entity type

Individual (NPI type 1)

Primary specialty

Addiction (Substance Use Disorder) Registered Nurse 163WA0400X

License

1141759 (KY)

Practice address

7509 Charlestown Pike
Charlestown, IN 47111-9623

Phone

(812) 256-4686

NPI assigned

Dec 29, 2009

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 5, 2016.

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1780914515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 S HICKORY GROVE RD",
            "city": "PEKIN",
            "state": "IN",
            "postal_code": "471658316",
            "telephone_number": "812-583-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7509 CHARLESTOWN PIKE",
            "city": "CHARLESTOWN",
            "state": "IN",
            "postal_code": "471119623",
            "telephone_number": "812-256-4686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "LAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-29",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IN",
            "license": "27062998A",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "1141759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlestown, IN

• Adam A French, MD
• William H Garner III, M.D.
• Kasey Garza, FNP-C
• Nancy Gentleman, LCSW
• Maria Margaret Gentry
• Hannah Gibson
• Heather Gibson
• Christina Ranea Gilkey, MSSW, MSCFT, LCSW
• Raymie Charles Gill, D.D.S.
• Rae Jeanna Godsey, D.O.

All providers in Charlestown, IN · Addiction (Substance Use Disorder) Registered Nurse in Indiana