Individual provider Active NPI

Sonia Laster, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Everett, WA
National Provider Identifier
1962930826
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
61324878 Issued in WA
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

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
09925857MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
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, CA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20170705000256 MS Practitioner - Nurse Practitioner 3274802426 Reassigns benefits to 1 organization
I20240712001210 DC Practitioner - Nurse Practitioner 3274802426 Reassigns benefits to 1 organization
I20240806001688 NY Practitioner - Nurse Practitioner 3274802426 Reassigns benefits to 2 organizations
I20240911003917 SC Practitioner - Nurse Practitioner 3274802426 Reassigns benefits to 1 organization
I20241018001216 CA Practitioner - Nurse Practitioner 3274802426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
902067MSMDFamily Nurse Practitioner
61324878WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Mississippi, PLLC Nurse Practitioner CurrentSince Nov 1, 2018 Accepting new patients
Careathome Medical Practice Family CurrentSince Aug 19, 2024 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Nov 1, 2018 Accepting new patients
Caringathome, LLC Nurse Practitioner CurrentSince Aug 1, 2024 Accepting new patients
Five Star Medical Office PC CurrentSince Aug 19, 2024 Accepting new patients
Urban Family Practice PC Nurse Practitioner CurrentSince Aug 19, 2024 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Past Accepting new patients
Perfect Health PC PastSince Jun 9, 2024 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

  • Direct secure messaging: slaster84738@directpatientrecord.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.