Provider Demographics
NPI:1255672960
Name:HOORMANN, LAURA KATE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:KATE
Last Name:HOORMANN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:901 RIVERFRONT PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37402-2196
Mailing Address - Country:US
Mailing Address - Phone:615-308-2822
Mailing Address - Fax:423-541-1444
Practice Address - Street 1:901 RIVERFRONT PKWY STE 200
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37402-2196
Practice Address - Country:US
Practice Address - Phone:423-541-1444
Practice Address - Fax:423-541-3002
Is Sole Proprietor?:No
Enumeration Date:2013-03-05
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN154774163W00000X
TNAPN17481363L00000X, 208VP0000X
TN17481363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100238000Medicaid
TN1531180Medicaid
KY7100238000Medicaid