Laurie J Grauel, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD06362 Issued in RI

Practice address

1275 Wampanoag TRL
Suite 200
Riverside, RI 02915-1217

Phone

(401) 433-9880

Fax

(401) 433-9838

NPI assigned

May 20, 2006

Last updated

Oct 4, 2012By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Rhode Island Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1609953397
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1962456186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 VIRGINIA AVE",
            "address_2": "SUITE 107",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 WAMPANOAG TRL",
            "address_2": "SUITE 200",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151217",
            "telephone_number": "401-433-9880",
            "fax_number": "401-433-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAUEL",
        "first_name": "LAURIE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "52717",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD06362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Daniel Gomez, PH.D.
• Kayla Goncalves
• Geetha Gopalakrishnan, MD
• Vidya Gopinath, M.D.
• Jennifer Goslin, RN
• Greater Providence Chapter,Riarc (John E. Fogarty Center)
• Green Line Supply LLC
• David M Greenberg, DPM
• Judith Greene, LICSW
• Veronica Grosse-Cardinale, PSYD

• Pediatrics Physician in Riverside, RI
• Providers in Riverside, RI by specialty
• Pediatrics Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.