Active NPI
Katie Brauns, LMT
- Contractor
- Bend, OR
National Provider Identifier
1003118548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 17083
- 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, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17083 | OR | MD | Contractor |
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.