Individual provider Active NPI

Laurica Marriott

  • Family Nurse Practitioner
  • Mountain View, MO
National Provider Identifier
1811346158
Registry record updated May 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0616628 Issued in MO
Practice address
220 N Elm St.
Mountain View, MO 65548-8347
Phone
(417) 247-5543
NPI assigned
Jun 7, 2016
Last updated
May 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F0616628 MO Primary
Registered Nurse 163W00000X 2009021791 MO

Addresses

Primary practice location

220 N Elm St.
Mountain View, MO 65548-8347

Mailing address

PO Box 32
Mountain View, MO 65548-7109
Phone (417) 256-9111

Other identifiers 1

IdentifierTypeStateIssuer
1811346158MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20160812000431 MO Practitioner - Nurse Practitioner 9931493020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ozarks Medical CenterGroup PAC ID 3870491863, 166 clinicians

Practice addresses (Care Compare)

220 N Elm St
Ozarks Healthcare Mountain View
Mountain View, MO 65548-8644
Phone (417) 296-6563

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2009021791MOMDRegistered Nurse
F0616628MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Medical Center CurrentSince Aug 1, 2016 Accepting new patients
Ozarks Medical Center CurrentSince Aug 1, 2016 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Ozarks Medical Center PastSince Nov 15, 2020 Accepting new patients

Locations

100 Medical Dr
Alton, MO 65606
Phone (417) 778-7227

220 N Elm St
Mountain View, MO 65548
Phone (417) 247-5543

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

Interoperability endpoints

  • Direct secure messaging: l.marriott@mhccaremail.com
  • Direct secure messaging: lauricamarriott@omcmo.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496102400000",
    "number": "1811346158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32",
            "city": "MOUNTAIN VIEW",
            "state": "MO",
            "postal_code": "655487109",
            "telephone_number": "417-256-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N ELM ST.",
            "city": "MOUNTAIN VIEW",
            "state": "MO",
            "postal_code": "655488347",
            "telephone_number": "417-247-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRIOTT",
        "first_name": "LAURICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2017-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "F0616628",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2009021791",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811346158",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, MO

Sources for this page

Verify at the official NPI Registry.