Individual provider Active NPI

Laureta Mocka

  • Family Nurse Practitioner
  • North Ridgeville, OH
National Provider Identifier
1962212969
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0037549 Issued in OH
Practice address
4991 Hiddenview CT
North Ridgeville, OH 44039-5015
Phone
(216) 256-7284
NPI assigned
Jan 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0037549 OH Primary

Addresses

Primary practice location

4991 Hiddenview CT
North Ridgeville, OH 44039-5015

Mailing address

4991 Hiddenview CT
North Ridgeville, OH 44039-5015
Phone (216) 256-7284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20260601003026 OH Order and Referring Only - Nurse Practitioner 7315417268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0037549OHMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1962212969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4991 HIDDENVIEW CT",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440395015",
            "telephone_number": "216-256-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4991 HIDDENVIEW CT",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440395015",
            "telephone_number": "216-256-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCKA",
        "first_name": "LAURETA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0037549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Ridgeville, OH

Sources for this page

Verify at the official NPI Registry.