Individual provider Active NPI

Laura Bowers Kreeger, PNP

  • Pediatric Nurse Practitioner
  • Sunnyside, NY
National Provider Identifier
1942721360
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F382821 Issued in NY
Practice address
4701 Queens Blvd Ste 303
Sunnyside, NY 11104-1622
Phone
(718) 707-3434
NPI assigned
Jul 6, 2017
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X F382821 NY Primary
Pediatric Nurse Practitioner 363LP0200X 382821 NY
Registered Nurse 163W00000X 717780-1 NY

Addresses

Primary practice location

4701 Queens Blvd Ste 303
Sunnyside, NY 11104-1622

Mailing address

11007 73Rd Rd Apt 5M
Forest Hills, NY 11375-6357
Phone (484) 221-0858

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
717780-1NYMDRegistered Nurse
382821NYMDPediatric Nurse Practitioner
F382821NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Our Neighborhood Medical PC Past Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61669

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1942721360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11007 73RD RD APT 5M",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756357",
            "telephone_number": "484-221-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 QUEENS BLVD STE 303",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041622",
            "telephone_number": "718-707-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREEGER",
        "first_name": "LAURA",
        "middle_name": "BOWERS",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F382821",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "382821",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "717780-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.