Active NPI
Lauryn Marie Pritchard
- Behavior Technician
- West Des Moines, IA
National Provider Identifier
1013523273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-134042
- Practice address
- 7755 Office Plaza Dr N Ste 105
West Des Moines, IA 50266-2339 - Phone
- (515) 505-7283
- NPI assigned
- Sep 22, 2020
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-134042 | IA | Primary |
Addresses
Primary practice location
7755 Office Plaza Dr N Ste 105
West Des Moines, IA 50266-2339
Mailing address
7755 Office Plaza Dr N Ste 105
West Des Moines, IA 50266-2339
Phone (515) 505-7283
Other practice location 1
1555 SE Delaware Ave Ste O
Ankeny, IA 50021-4011
Phone (515) 261-2402
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | laurynp@axisaba.com |
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 |
|---|---|---|---|
| RBT-20-134042 | IA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KP Enterprises Iowa | Behavior Technician | Past | Accepting new patients |
| KP Enterprises Iowa | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Ankeny, IA
- NPI 1518478684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600732800000",
"number": "1013523273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7755 OFFICE PLAZA DR N STE 105",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502662339",
"telephone_number": "515-505-7283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7755 OFFICE PLAZA DR N STE 105",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502662339",
"telephone_number": "515-505-7283"
}
],
"practiceLocations": [
{
"address_1": "1555 SE Delaware Ave Ste O",
"address_purpose": "LOCATION",
"city": "Ankeny",
"state": "IA",
"postal_code": "500214011",
"country_code": "US",
"telephone_number": "515-261-2402",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRITCHARD",
"first_name": "LAURYN",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-22",
"last_updated": "2020-09-22",
"certification_date": "2020-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IA",
"license": "RBT-20-134042",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "laurynp@axisaba.com",
"affiliation": "N",
"address_1": "7755 Office Plaza Dr N Ste 105",
"city": "West Des Moines",
"state": "IA",
"country_code": "US",
"postal_code": "502662339",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.