Loren B Betteridge, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

28116 Issued in WA

Practice address

3733 S Thompson Ave
Tacoma, WA 98418-5013

Phone

(253) 472-4473

Fax

(253) 474-3056

NPI assigned

Jul 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Betteridge & McNaughton PS Inc

  • Family Medicine Physician
  • Tacoma, WA
  • NPI 1457552770
  Medicare reassignment NPD

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186099200000",
    "number": "1023015211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3733 S THOMPSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984185013",
            "telephone_number": "253-472-4473",
            "fax_number": "253-474-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3733 S THOMPSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984185013",
            "telephone_number": "253-472-4473",
            "fax_number": "253-474-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTERIDGE",
        "first_name": "LOREN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2007-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "28116",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "WA",
            "license": "28116",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1065390",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Alissa Bettencourt, M.D
• Better Outlook Psychiatry & Wellness PLLC
• Betteridge & McNaughton PS Inc
• Benjamin Bryce Betteridge, MD, CAQ SPORTS MEDIC
• Bryce Cahoon Betteridge
• Bonnie Betts, OTR/L
• Shantel Beua, CMA
• Christine Melody Beuning, PHARM.D.
• Jill Marie Bevans, PHARM D
• Scott Eric Bevans, M.D.

• Family Medicine Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.