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1619860244 NPI number — LAURA ELLA BAUMGARDNER

NPI Number: 1619860244
Health Care Provider/Practitioner: LAURA ELLA BAUMGARDNER

Information about “1619860244” NPI (LAURA ELLA BAUMGARDNER) exists in 1619860244 in HTML format HTML  |  1619860244 in plain Text format TXT  |  1619860244 in PDF (Portable Document Format) PDF  |  1619860244 in an XML format XML  formats.

NPI Number : 1619860244 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619860244",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BAUMGARDNER",
    "FirstName": "LAURA",
    "MiddleName": "ELLA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BURCH",
    "OtherFirstName": "LAURA",
    "OtherMiddleName": "ELLA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 1180",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HAYDEN",
    "MailingAddressStateName": "ID",
    "MailingAddressPostalCode": "83835-1180",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "208-966-4176",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "21651 E COUNTRY VISTA DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LIBERTY LAKE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "99019-7708",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "509-822-7834",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/02/2025",
    "LastUpdateDate": "06/02/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": "OT60615300",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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