Individual provider Active NPI

Laura Blevins, ND

  • Naturopath
  • Klamath Falls, OR
National Provider Identifier
1043680796
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
3053 Issued in OR
Practice address
4036 S 6TH St Ste 2
Klamath Falls, OR 97603-4750
Phone
(541) 851-9320
Fax
(541) 851-9322
NPI assigned
Oct 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 3053 OR Primary

Addresses

Primary practice location

4036 S 6TH St Ste 2
Klamath Falls, OR 97603-4750

Mailing address

4036 S 6TH St Ste 2
Klamath Falls, OR 97603-4750
Phone (541) 851-9320

Other identifiers 1

IdentifierTypeStateIssuer
500694147MedicaidOR

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3053ORMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wholesome Family Medicine Naturopath CurrentSince Mar 1, 2021 Accepting new patients

Locations

4036 S 6th St
Ste 2
Klamath Falls, OR 97603
Phone (541) 851-9320

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16628/brand/1/csg/1/fhir/r4
  • Direct secure messaging: laura.blevins.1@16628.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1043680796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4036 S 6TH ST STE 2",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976034750",
            "telephone_number": "541-851-9320",
            "fax_number": "541-851-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4036 S 6TH ST STE 2",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976034750",
            "telephone_number": "541-851-9320",
            "fax_number": "541-851-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "LAURA",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-06",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OR",
            "license": "3053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500694147",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.