Active NPI
Laura Gremillion Largent, CNM, WHNP
- Women's Health Nurse Practitioner
- Rogers, AR
National Provider Identifier
1811487945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- R091912
- Practice address
- 2203 S Promenade Blvd Ste 5185
Rogers, AR 72758-8722 - Phone
- (479) 480-7200
- NPI assigned
- May 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | R091912 | AR | Primary |
Addresses
Primary practice location
2203 S Promenade Blvd Ste 5185
Rogers, AR 72758-8722
Mailing address
333 S Desplaines St Ste 201
Chicago, IL 60661-5514
Other names 1
- Laura Katherine Gremillion
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
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R091912 | AR | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peach State Medical Practice, PC | Past | Accepting new patients | |
| Peach State Medical Practice, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Kindbody of AK Medical Practice, PC
- Reproductive Endocrinology Physician
- Rogers, AR
- NPI 1013647569
-
dba Kindbody of MD Medical Practice
- Reproductive Endocrinology Physician
- North Bethesda, MD
- NPI 1962116806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1811487945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 S DESPLAINES ST STE 201",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606615514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2203 S PROMENADE BLVD STE 5185",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588722",
"telephone_number": "479-480-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARGENT",
"first_name": "LAURA",
"middle_name": "GREMILLION",
"name_prefix": "Ms.",
"credential": "CNM, WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-15",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "AR",
"license": "R091912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "GREMILLION",
"middle_name": "KATHERINE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.