Katherine E Ladd

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

2589 NW Edenbower Blvd
Roseburg, OR 97471-6224

Phone

(541) 492-5267

NPI assigned

Oct 20, 2022

Last updated

Oct 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Cow Creek Band of Umpqua Tribe of Indians

  dba Cow Creek Health & Wellness Ctr

  • Federally Qualified Health Center (FQHC)
  • Roseburg, OR
  • NPI 1063502714
  NPD (past)
• Cow Creek Band of Umpqua Tribe of Indians

  dba Cow Creek Health & Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Canyonville, OR
  • NPI 1134567993
  NPD (past)

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1265159248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2589 NW EDENBOWER BLVD",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974716224",
            "telephone_number": "541-492-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2589 NW EDENBOWER BLVD",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974716224",
            "telephone_number": "541-492-5267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 Wartahoo Ln",
            "address_purpose": "LOCATION",
            "city": "Canyonville",
            "state": "OR",
            "postal_code": "974179683",
            "country_code": "US",
            "telephone_number": "541-672-8533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LADD",
        "first_name": "KATHERINE",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michon Kysilka, RD
• Laboratory Corporation of America
• Laboratory Corporation of America
• Laurina Parry Lacey
• Charmaine Monique Lachapelle, FNP-C
• Arron Justin Lafitte VIII
• Molly Ann Lajoie, MS CCC-SLP
• Gretchen Christine Lake
• Sophie H Lam Germany, MSW, LCSW
• David J Lampert, NP

• Health & Wellness Coach in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Health & Wellness Coach in Oregon

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

Verify at the official NPI Registry.