MS. LAURALEE MARIE SPRAGUE (NPI# 1508820374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508820374 |
| Entity Type | Individual |
| Full Name | MS. LAURALEE MARIE SPRAGUE |
| Credential | FNP |
| Practice Address |
100 Memorial Dr Gowanda NY 14070-1111 |
| Mailing Address |
11159 Route 39 Gowanda NY 14070-9618 |
| Practice Telephone | 7165328799 |
| Practice Fax Number | 7165328787 |
| Mailing Telephone | 7165321580 |
| Mailing Fax Number | 7165328787 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2019-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F333702 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BC/BS | 000560712003 | 01 | |
| NY | 00347544 | 05 | |
| FIDELIS | 060317000060 | 01 | |
| NY | 02341591 | 05 | |
| UNIVERA | 00027791901 | 01 | |
| FIDELIS | 040426002197 | 01 | |
| IHA | 9512209 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 529 Central Ave, Dunkirk, NY 140482514 | 7167108266 |
| Street Address |
100 MEMORIAL DR |
| City | GOWANDA |
| State | NY |
| Zip Code | 14070-1111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508241332 | Daniell Moore | Dietitian, Registered | 100 Memorial Dr, Gowanda, NY 14070-1111 | 2015-07-22 |
| 1912187717 | Robert E Piotrowski | Physician Assistant | 100 Memorial Dr, Gowanda, NY 14070-1111 | 2007-11-08 |
| 1356430417 | Nancy Lance | Physician Assistant | 100 Memorial Dr, Gowanda, NY 14070-1111 | 2006-10-12 |
| 1194822890 | Todd Andrew Thomas | Physician Assistant | 100 Memorial Dr, Gowanda, NY 14070-1111 | 2006-09-17 |
| 1548275910 | Joel Yoviene | Internal Medicine | 100 Memorial Dr, Gowanda, NY 14070-1111 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184074791 | Ann Marie Cobo | Licensed Practical Nurse | 14703 Aldrich St, Gowanda, NY 14070 | 2016-06-14 |
| 1538419502 | Brooks - Tlc Hospital System Inc | Family Medicine | 34 Commercial St, Gowanda, NY 14070 | 2012-09-17 |
| 1265717136 | Jennifer Siragusa | Registered Nurse | 84 North Chapel St, Gowanda, NY 14070 | 2011-10-11 |
| 1952558298 | Jennifer Jane Kohn | Speech-Language Pathologist | 3499 Foster Road, Gowanda, NY 14070 | 2008-08-19 |
| 1134301039 | George Andrew Lisjak | Chiropractor | 15 South Water St, Gowanda, NY 14070 | 2007-12-03 |
| 1780733113 | Suneil C Ninan | Chiropractor | 18 East Main Street, Gowanda Chiropractic, Gowanda, NY 14070 | 2007-01-08 |
| 1073589008 | John B Mcalevey | Psychiatry & Neurology | 1438 Taylor Hollow Road, Gowanda, NY 14070 | 2006-02-28 |
| 1588657043 | Gnh LLC | Skilled Nursing Facility | 100 Miller St, Gowanda, NY 14070 | 2005-08-30 |
| 1831495126 | Briana J Postle | Social Worker | 10674 Prospect St, Gowanda, NY 14070 | 2011-02-03 |
| 1972733632 | Sarah Ayers | Physician Assistant | 100 Miller St, Gowanda, NY 14070 | 2009-07-15 |
| Find all providers in zip 14070 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003807751 | Georgina Paul | Nurse Practitioner | 104 Memorial Dr, Gowanda, NY 14070-1111 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225880 | Aleksandr Gurgov | Nurse Practitioner | 740 E 9th St, Brooklyn, NY 11230-2202 | 2020-11-08 |
| 1437750171 | Dana Alberico Lonis | Nurse Practitioner | 246 Waldorf Pkwy, Syracuse, NY 13224-2118 | 2020-11-07 |
| 1396346136 | Amarachukwu U Egbujor | Nurse Practitioner | 565 Pine St, Brooklyn, NY 11208-3901 | 2020-11-06 |
| 1568063378 | Valerie Cantave | Nurse Practitioner | 152 Somerset Dr, Suffern, NY 10901-6904 | 2020-11-06 |
| 1366043259 | Lora Hong | Nurse Practitioner | 55 Underhill Rd, Scarsdale, NY 10583-1040 | 2020-11-05 |
| 1235730102 | Lane Marie Knight | Nurse Practitioner | 8145 Rapallo Way, Clay, NY 13041-8893 | 2020-11-05 |
| 1073114112 | Karen Liu | Nurse Practitioner | 154 Bay 35th St, Brooklyn, NY 11214-5308 | 2020-11-04 |
| 1871194027 | Wai Ying Chan | Nurse Practitioner | 659 Britton Ave, Staten Island, NY 10304-4463 | 2020-11-04 |
| 1063013258 | Iris Massiel Garcia | Nurse Practitioner | 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 | 2020-11-04 |
| 1104427525 | Jeanine R Williams | Nurse Practitioner | 4213 Foster Ave, Brooklyn, NY 11203-5711 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.