Individual provider Active NPI

Louise Ann Bauschard X, LCSW

  • Early Intervention Provider Agency
  • Hillsboro, OR
National Provider Identifier
1215339387
Registry record updated Sep 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
L2155SR Issued in OR
Practice address
254 N 1St Ave
# 105
Hillsboro, OR 97124-3003
Phone
(503) 997-8041
Fax
(503) 846-0709
NPI assigned
Sep 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X L2155SR OR Primary

Addresses

Primary practice location

254 N 1St Ave
# 105
Hillsboro, OR 97124-3003

Mailing address

254 N 1St Ave
# 105
Hillsboro, OR 97124-3003
Phone (503) 997-8041

Other names 1

  • Ms. Louise Ann Bauschard X Professional name

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

LicenseStateTypeSpecialty
L2155SRORMDEarly Intervention Provider Agency

NPI Registry JSON

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

{
    "created_epoch": "1411171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411171200000",
    "number": "1215339387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 N 1ST AVE",
            "address_2": "# 105",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971243003",
            "telephone_number": "503-997-8041",
            "fax_number": "503-846-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 N 1ST AVE",
            "address_2": "# 105",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971243003",
            "telephone_number": "503-997-8041",
            "fax_number": "503-846-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUSCHARD",
        "first_name": "LOUISE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "name_suffix": "X",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-20",
        "last_updated": "2014-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "OR",
            "license": "L2155SR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOUISE",
            "last_name": "BAUSCHARD",
            "middle_name": "ANN",
            "prefix": "MS.",
            "suffix": "X",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2014; 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.