Laura Anne Karadimas, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704190382 Issued in MI

Practice address

1163 S Carney Dr
Saint Clair, MI 48079-5569

Phone

(810) 561-8450

Fax

(810) 329-0156

NPI assigned

Sep 28, 2019

Last updated

Mar 29, 2021By 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

Medicare fee-for-service enrollment

Enrolled in MI

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

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11357/brand/3/csg/1/fhir/r4

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.

• Physician Healthcare Network, PC

  • Urgent Care Clinic/Center
  • Marysville, MI
  • NPI 1093921074
  NPD (past)
• Physician Healthcare Network, PC

  • Urgent Care Clinic/Center
  • Lenox, MI
  • NPI 1295941375
  NPD (past)

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

{
    "created_epoch": "1569628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1790336907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 S CARNEY DR",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480795569",
            "telephone_number": "810-561-8450",
            "fax_number": "810-329-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 S CARNEY DR",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480795569",
            "telephone_number": "810-561-8450",
            "fax_number": "810-329-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARADIMAS",
        "first_name": "LAURA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-28",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704190382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Holcomb
• HQ of St Clair LLC (Healthquest Physical Therapy)
• Ann Marie Huyghe, MA, LPC
• In Home Personal Services
• Marvin Warren Jones, PHD
• Deanna Jean Kaufman
• William Lawbence Kearns, LMSW
• Carla Jean Keck
• Sammantha Nichole Kesner
• Carol Jean Kesterke, LMSW, LPC

• Family Nurse Practitioner in Saint Clair, MI
• Providers in Saint Clair, MI by specialty
• Family Nurse Practitioner in Michigan

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