Active NPI
Sonia Laster, FNP
- Psychiatric/Mental Health Nurse Practitioner
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 61324878
- Practice address
- 15 SW Everett Mall Way Ste a
Everett, WA 98204-2715 - Phone
- (601) 670-0783
- NPI assigned
- May 23, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 902067 | MS | |
| Family Nurse Practitioner | 363LF0000X | 902067 | MS | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 61324878 | WA | Primary |
Addresses
Primary practice location
15 SW Everett Mall Way Ste a
Everett, WA 98204-2715
Mailing address
107 Cotton CRK
Hattiesburg, MS 39402-7614
Phone (601) 670-0783
Other practice location 1
107 Cotton Crk
Hattiesburg, MS 39402-7614
Phone (601) 670-0783
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09925857 | Medicaid | MS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | slaster84738@directpatientrecord.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, DC, NY, SC, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 902067 | MS | MD | Family Nurse Practitioner |
| 61324878 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Mississippi, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Careathome Medical Practice | Family | Current | Accepting new patients |
| Fast Pace Mississippi, PLLC | Current | Accepting new patients | |
| Caringathome, LLC | Nurse Practitioner | Current | Accepting new patients |
| Five Star Medical Office PC | Current | Accepting new patients | |
| Urban Family Practice PC | Nurse Practitioner | Current | Accepting new patients |
| State of Mississippi - University of Mississippi Medical Center | Past | Accepting new patients | |
| Perfect Health PC | Past | Accepting new patients |
Locations
2300 N St NW
Ste 200
Washington, DC 20037
Phone (844) 401-4663
517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206
564 Niagara St
Bldg 2
Buffalo, NY 14201
Phone (716) 324-5026
10407 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 576-4652
169 Madison Ave
Ste 2817
New York, NY 10016
Phone (917) 410-7931
169 Madison Ave
Ste 2829
New York, NY 10016
5680 King Centre Dr
Ste 600
Kingstowne, VA 22315
Phone (703) 201-8558
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- slaster84738@directpatientrecord.com
- sonialaster@jfmc.ssdirect.aprima.com
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Forest Hills, NY
- NPI 1760731459
-
- In Home Supportive Care Agency
- Baltimore, MD
- NPI 1164594099
Nurse Practitioner, NY
-
- Rural Health Clinic/Center
- Kosciusko, MS
- NPI 1851050579
-
- Internal Medicine Physician
- Boston, MA
- NPI 1861815300
-
- Critical Access Hospital
- Lexington, MS
- NPI 1386630705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1962930826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 COTTON CRK",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394027614",
"telephone_number": "601-670-0783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 SW EVERETT MALL WAY STE A",
"city": "EVERETT",
"state": "WA",
"postal_code": "982042715",
"telephone_number": "601-670-0783"
}
],
"practiceLocations": [
{
"address_1": "107 Cotton Crk",
"address_purpose": "LOCATION",
"city": "Hattiesburg",
"state": "MS",
"postal_code": "394027614",
"country_code": "US",
"telephone_number": "601-670-0783",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LASTER",
"first_name": "SONIA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-23",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "902067",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "902067",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "61324878",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09925857",
"state": "MS"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "slaster84738@directpatientrecord.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "1101 S 28th Ave Ste D",
"city": "Hattiesburg",
"state": "MS",
"country_code": "US",
"postal_code": "394022610",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.