Active NPI
Laurel Guild
- Athletic Trainer
- Bartlesville, OK
National Provider Identifier
1215306238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 884
- Practice address
- 1902 SE Washington Blvd
Bartlesville, OK 74006-6736 - Phone
- (918) 876-1482
- NPI assigned
- Sep 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 884 | OK | Primary |
Addresses
Primary practice location
1902 SE Washington Blvd
Bartlesville, OK 74006-6736
Mailing address
536 SE Elmhurst Ave
Bartlesville, OK 74006-8414
Phone (918) 688-9608
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 |
|---|---|---|---|
| 884 | OK | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dpti-Peak Rehab LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Bartlesville, OK
- NPI 1760880298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442793600000",
"number": "1215306238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "536 SE ELMHURST AVE",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740068414",
"telephone_number": "918-688-9608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1902 SE WASHINGTON BLVD",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740066736",
"telephone_number": "918-876-1482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILD",
"first_name": "LAUREL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-21",
"last_updated": "2015-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OK",
"license": "884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bartlesville, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.