Laura Maclam, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

4704241893 Issued in MI

Practice address

524 Marywood Dr NE
Grand Rapids, MI 49505-4149

Phone

(616) 498-1015

NPI assigned

Jun 27, 2018

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

Other names 1

• Laura Siereveld Former name

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Applebaum Physiatry PLLCGroup PAC ID 8729453436, 141 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: laura.maclam.1@28492.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/20787/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/17442/brand/2/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/GGGFDD

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.

• Applebaum Physiatry PLLC

  • Physical Medicine & Rehabilitation Physician
  • Oak Brook, IL
  • NPI 1700598059

  Gerontology, MI

  Medicare reassignment Care Compare group NPD
• Michigan Primary Care Partners P C

  • Internal Medicine Physician
  • Big Rapids, MI
  • NPI 1366497380
  Medicare reassignment NPD
• Reed City Hospital Corporation

  • Family Medicine Physician
  • Reed City, MI
  • NPI 1831253798
  Medicare reassignment NPD
• Senior Resources of West Michigan

  • Gerontology Nurse Practitioner
  • Norton Shores, MI
  • NPI 1033732987
  Medicare reassignment NPD
• Mercy Health Partners - Physician Specialist

  • Internal Medicine Physician
  • Muskegon, MI
  • NPI 1922248772
  Medicare reassignment
• Reed City Hospital Corporation

  • General Practice Registered Nurse
  • Reed City, MI
  • NPI 1366735219
  NPD
• Reed City Hospital Corporation

  • Critical Access Hospital
  • Reed City, MI
  • NPI 1538239892
  NPD
• Senior Resources of West Michigan

  • Case Management Agency
  • Muskegon, MI
  • NPI 1336382571
  NPD

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1851886220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 MARYWOOD DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495054149",
            "telephone_number": "616-498-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 MARYWOOD DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495054149",
            "telephone_number": "616-498-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLAM",
        "first_name": "LAURA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704241893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "SIEREVELD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rosemary Anne Mackenzie, RN
• Jacquelyn Macker, BSW
• Hayley Mackey
• Laura Anne Mackie
• Camille Elaine Macklin
• Colleen Maclauchlan
• James Paul Maclean, LMSW
• Danielle Macmillan
• Karri Macmillan
• Clarice Callahan Macmillen, MD

• Gerontology Nurse Practitioner in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Gerontology Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.