Individual provider Active NPI

Katie Brauns, LMT

  • Contractor
  • Bend, OR
National Provider Identifier
1003118548
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
17083 Issued in OR
Practice address
243 SW Scalehouse Loop Ste 2B
Bend, OR 97702-1279
Phone
(541) 388-1969
NPI assigned
Dec 2, 2010
Last updated
Dec 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 17083 OR Primary

Addresses

Primary practice location

243 SW Scalehouse Loop Ste 2B
Bend, OR 97702-1279

Mailing address

1584 NW Ithaca Ave
Bend, OR 97701-2116
Phone (541) 788-4116

Other names 1

  • Jennifer Katherine Brauns Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17083ORMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1003118548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1584 NW ITHACA AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977012116",
            "telephone_number": "541-788-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 SW SCALEHOUSE LOOP STE 2B",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021279",
            "telephone_number": "541-388-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUNS",
        "first_name": "KATIE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "OR",
            "license": "17083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BRAUNS",
            "middle_name": "KATHERINE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.