Active NPI
Beth Ludlow, LMP
- Specialist
- Olalla, WA
National Provider Identifier
1104216860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA60487445
- Practice address
- 13200 Hadfield Rd SE
Olalla, WA 98359-9540 - Phone
- (253) 678-6118
- NPI assigned
- Feb 2, 2015
- Last updated
- Feb 2, 2015
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA60487445 | WA | Primary |
Addresses
Primary practice location
13200 Hadfield Rd SE
Olalla, WA 98359-9540
Mailing address
13200 Hadfield Rd SE
Olalla, WA 98359-9540
Phone (253) 678-6118
Other names 1
- Beth Ludlow
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 |
|---|---|---|---|
| MA60487445 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422835200000",
"number": "1104216860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13200 HADFIELD RD SE",
"city": "OLALLA",
"state": "WA",
"postal_code": "983599540",
"telephone_number": "253-678-6118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13200 HADFIELD RD SE",
"city": "OLALLA",
"state": "WA",
"postal_code": "983599540",
"telephone_number": "253-678-6118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUDLOW",
"first_name": "BETH",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-02",
"last_updated": "2015-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA60487445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BETH",
"last_name": "LUDLOW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Olalla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.