Jacquie Laughlin, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0001722 Issued in MD

Practice address

5930 Frederick Crossing LN
Advanced Urgent Care F Frederick
Frederick, MD 21704-5137

Phone

(240) 379-7776

Fax

(240) 379-7787

NPI assigned

Mar 14, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Emergency Medicine Associates P.a., P.C.

  • Emergency Medicine Physician
  • Falls Church, VA
  • NPI 1134117393
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932232246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 GRAYBILL CT",
            "city": "NEW WINDSOR",
            "state": "MD",
            "postal_code": "217769714",
            "telephone_number": "410-875-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 FREDERICK CROSSING LN",
            "address_2": "ADVANCED URGENT CARE F FREDERICK",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217045137",
            "telephone_number": "240-379-7776",
            "fax_number": "240-379-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUGHLIN",
        "first_name": "JACQUIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0001722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Leigh Lastner, LGPC
• Tamara Latch
• Kathleen M Lattea, LCPC
• Brooke Nicole Latterner, COTA/L
• Lara Lattman, CNS, LDN
• Katelyn Laughman
• Laura a Michie CCC SLP (Frederick SLP and OT)
• Laurel Medical Supplies, Inc. (Frederick Medical Supplies)
• Catherine Theresa Lauritzen, C.R.N.P.
• Gregory Lavanier, M.D.

• Physician Assistant in Frederick, MD
• Providers in Frederick, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.