Active NPI
Lauren Berglind
- Primary Care Nurse Practitioner
- Silverdale, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- AP60971045
- Practice address
- 3261 NW Mount Vintage Way Ste 221
Silverdale, WA 98383-6039 - Phone
- (360) 792-9118
- Fax
- (360) 918-9726
- NPI assigned
- Jun 14, 2019
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | AP60971045 | WA | Primary |
Addresses
Primary practice location
3261 NW Mount Vintage Way Ste 221
Silverdale, WA 98383-6039
Mailing address
3261 NW Mount Vintage Way Ste 221
Silverdale, WA 98383-6039
Phone (360) 792-9118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190809002962 | WA | Practitioner - Nurse Practitioner | 3072840255 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Washington Gastroenterology PLLC
Practice addresses (Care Compare)
3261 NW Mount Vintage Way
Suite 221
Silverdale, WA 98383-6039
Phone (360) 792-9118
Hospital & facility affiliations
- St Michael Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60971045 | WA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Digestive Health Consultants, PLLC | Current | Accepting new patients | |
| Washington Gastroenterology PLLC | Current | Accepting new patients | |
| Washington Gastroenterology PLLC | Current | Accepting new patients | |
| Peninsula Community Health Services | Past | Accepting new patients | |
| Digestive Disease & Endoscopy Center, LLC | Past | Accepting new patients |
Locations
17700 SE 272nd St
Ste 420
Kent, WA 98042
Phone (253) 639-9660
1703 S Meridian
Ste 203
Puyallup, WA 98371
Phone (253) 841-3933
1703 S Meridian
Ste 305
Puyallup, WA 98371
Phone (253) 841-3933
3261 NW Mount Vintage Way
Ste 221
Silverdale, WA 98383
Phone (360) 479-1952
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gastroenterology Physician
- Silverdale, WA
- NPI 1265942346
-
- Clinical Medical Laboratory
- Federal Way, WA
- NPI 1467011122
-
- Ambulatory Surgical Clinic/Center
- Silverdale, WA
- NPI 1306973235
-
- Federally Qualified Health Center (FQHC)
- Port Orchard, WA
- NPI 1205886934
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1265092076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3261 NW MOUNT VINTAGE WAY STE 221",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983836039",
"telephone_number": "360-792-9118",
"fax_number": "360-918-9726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3261 NW MOUNT VINTAGE WAY STE 221",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983836039",
"telephone_number": "360-792-9118",
"fax_number": "360-918-9726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGLIND",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-14",
"last_updated": "2022-10-28",
"certification_date": "2022-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "WA",
"license": "AP60971045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.