Active NPI
Germaine Barbara Bauer-Larson
- Occupational Therapist
- Hibbing, MN
National Provider Identifier
1255367256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 100005
- Practice address
- 1101 E 37TH St Ste 20
Hibbing, MN 55746-2972 - Phone
- (218) 440-1548
- NPI assigned
- Jun 23, 2006
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 100005 | MN | Primary |
Addresses
Primary practice location
1101 E 37TH St Ste 20
Hibbing, MN 55746-2972
Mailing address
730 E 34TH St
Hibbing, MN 55746-5109
Phone (218) 263-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08R87BA | Other | MN | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 100005 | MN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1255367256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 E 34TH ST",
"city": "HIBBING",
"state": "MN",
"postal_code": "557465109",
"telephone_number": "218-263-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 E 37TH ST STE 20",
"city": "HIBBING",
"state": "MN",
"postal_code": "557462972",
"telephone_number": "218-440-1548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUER-LARSON",
"first_name": "GERMAINE",
"middle_name": "BARBARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "100005",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "08R87BA",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hibbing, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.