Individual provider Active NPI

Laura Elizabeth Maurizi

  • Maternal & Fetal Medicine Physician
  • Memphis, TN
National Provider Identifier
1801360516
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
24614 Issued in TN
Practice address
6266 Poplar Ave
Memphis, TN 38119-4713
Phone
(901) 682-2595
NPI assigned
Jan 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 24614 TN Primary

Addresses

Primary practice location

6266 Poplar Ave
Memphis, TN 38119-4713

Mailing address

6272 Longmire Loop E
Arlington, TN 38002-1538
Phone (901) 461-3419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20201027002990 TN Practitioner - Nurse Practitioner 4688084908 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Maternal Fetal Medicine PC Maternal & Fetal Medicine CurrentSince Jul 14, 2020 Accepting new patients

Locations

6266 Poplar Ave
Memphis, TN 38119
Phone (901) 682-2595

Interoperability endpoints

  • Direct secure messaging: lmaurizi29637@mlh.direct-ci.com
  • Direct secure messaging: lauramaurizi@mmfm.directglo.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1801360516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6272 LONGMIRE LOOP E",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380021538",
            "telephone_number": "901-461-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6266 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194713",
            "telephone_number": "901-682-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURIZI",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "TN",
            "license": "24614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.