Active NPI
Laura Fanning
- Family Nurse Practitioner
- Saint Johns, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704253569
- Practice address
- 901 S Oakland St Ste 201
Saint Johns, MI 48879-2200 - Phone
- (989) 224-2338
- Fax
- (989) 224-2065
- NPI assigned
- Jun 26, 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704253569 | MI | Primary |
Addresses
Primary practice location
901 S Oakland St Ste 201
Saint Johns, MI 48879-2200
Mailing address
PO Box 13008
Lansing, MI 48901-3008
Phone (989) 224-2338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4704253569 | Other | MI | STATE LICENSE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2900 Hannah Blvd
Suite 114
East Lansing, MI 48823-5380
Phone (517) 364-8080
Hospital & facility affiliations
- Edward W Sparrow Hospital
- University of Michigan Health- Sparrow Clinton
- University of Michigan Health - Sparrow Eaton
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparrow Clinton Hospital | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| Sparrow Clinton Hospital | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Past | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
2900 Hannah Blvd
Ste 114
East Lansing, MI 48823
Phone (517) 364-8080
901 S Oakland St
Ste 201
Saint Johns, MI 48879
Phone (989) 224-2338
901 S Oakland St
Saint Johns, MI 48879
Phone (517) 227-2338
Organizations & group practices 6
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.
-
- Pediatrics Physician
- Lansing, MI
- NPI 1831139088
-
- Critical Access Hospital
- Saint Johns, MI
- NPI 1093809824
-
- Multi-Specialty Clinic/Center
- Saint Johns, MI
- NPI 1306893078
-
- Adult Health Nurse Practitioner
- Lansing, MI
- NPI 1265220438
-
- Endocrinology, Diabetes & Metabolism Physician
- Lansing, MI
- NPI 1508812264
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lansing, MI
- NPI 1033162326
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
-
- Critical Access Hospital
- Saint Johns, MI
- NPI 1093809824
-
- Critical Access Hospital
- Charlotte, MI
- NPI 1942254529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529971200000",
"number": "1851886469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13008",
"city": "LANSING",
"state": "MI",
"postal_code": "489013008",
"telephone_number": "989-224-2338",
"fax_number": "989-224-2065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 S OAKLAND ST STE 201",
"city": "SAINT JOHNS",
"state": "MI",
"postal_code": "488792200",
"telephone_number": "989-224-2338",
"fax_number": "989-224-2065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANNING",
"first_name": "LAURA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-26",
"last_updated": "2018-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704253569",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "4704253569",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Johns, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.