NPIMap

Individual provider Active NPI

Laura Cottingham

  • Family Medicine Physician
  • Quincy, WA
National Provider Identifier
1063809440
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD61032845 Issued in WA
Practice address
1450 1St Ave SW
Quincy, WA 98848-1695
Phone
(509) 764-2381
NPI assigned
Apr 23, 2015
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD22758 ME
Family Medicine Physician 207Q00000X A165079 CA
Family Medicine Physician 207Q00000X MD61032845 WA Primary

Addresses

Primary practice location

1450 1St Ave SW
Quincy, WA 98848-1695

Mailing address

1 Akron General Ave
Akron, OH 44307-2432
Phone (330) 344-6000

Other practice location 1

1 Akron General Ave
Akron, OH 44307-2432
Phone (330) 344-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA, NY3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20191025001184 TX Practitioner - Family Practice 3476855586 Reassigns benefits to 1 organization
I20200409001547 WA Practitioner - Family Practice 3476855586 Reassigns benefits to 3 organizations
I20250304002270 NY Practitioner - Family Practice 3476855586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

103 Medicine Way Rd
Peridot, AZ 85542-0787
Phone (928) 475-1400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A165079CAMDFamily Medicine Physician
MD61032845WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alice Hyde Medical Center Current Accepting new patients
San Carlos Apache Healthcare Corporation Current Accepting new patients
Multicare Health System Family Medicine CurrentSince Jan 3, 2022 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Apr 13, 2020 Accepting new patients
Multicare Health System CurrentSince Jan 3, 2022 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Apr 13, 2020 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Jul 26, 2025 Accepting new patients
Multicare Health System Current Accepting new patients
Alice Hyde Medical Center Family Medicine CurrentSince Jan 27, 2025 Accepting new patients
Capital Medical Center Physicians LLC Family Medicine CurrentSince Jan 3, 2022 Accepting new patients
Capital Medical Center Physicians LLC CurrentSince Jan 3, 2022 Accepting new patients

Locations

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

969 State Route 11
Moira, NY 12957
Phone (518) 529-7847

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

26004 104th Ave SE
Ste 101
Kent, WA 98030
Phone (425) 251-4040

3920 Capital Mall Dr SW
Ste 200
Olympia, WA 98502
Phone (360) 459-7282

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Organizations & group practices 11

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1063809440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AKRON GENERAL AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443072432",
            "telephone_number": "330-344-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 1ST AVE SW",
            "city": "QUINCY",
            "state": "WA",
            "postal_code": "988481695",
            "telephone_number": "509-764-2381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Akron General Ave",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443072432",
            "country_code": "US",
            "telephone_number": "330-344-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTTINGHAM",
        "first_name": "LAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD22758",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A165079",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61032845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, WA

Sources for this page

Verify at the official NPI Registry.