Laurel L Haycraft, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

208103 Issued in MN

Practice address

7901 Xerxes Ave S Ste 116
Bloomington, MN 55431-1200

Phone

(952) 888-2024

Fax

(952) 888-3985

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Fairview Health Services

  • Emergency Medicine Physician
  • Minneapolis, MN
  • NPI 1811077175
  Medicare reassignment
• Fairview Clinics

  • Primary Care Clinic/Center
  • Princeton, MN
  • NPI 1821242017
  NPD
• Fairview Health Services

  • General Acute Care Hospital
  • Minneapolis, MN
  • NPI 1013994359
  NPD
• Fairview Health Services

  • Land Ambulance
  • Saint Paul, MN
  • NPI 1710212485
  NPD

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1972667772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 XERXES AVE S STE 116",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311200",
            "telephone_number": "952-888-2024",
            "fax_number": "952-888-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 XERXES AVE S STE 116",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311200",
            "telephone_number": "952-888-2024",
            "fax_number": "952-888-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYCRAFT",
        "first_name": "LAUREL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "208103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019885400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Makenize Hawkins
• Kyla Raquel Hawkins
• Whitley Lynn Hawkins
• Elle Hawkinson, AUDIOLOGIST
• Kenneth C Haycraft Jr., MD
• Amy Haynes, DPT, PT
• Aisha Hayow
• Emily Sue Haywood, ATC
• Healing Home Healthcare, LLC
• Healing Waters Recovery Counseling

• Family Medicine Physician in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.

Verify at the official NPI Registry.