Active NPI
Rochelle L Burlingame, LMP
- Specialist
- Bellingham, WA
National Provider Identifier
1336163302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00021869
- Practice address
- 1050 Larrabee Ave
Ste 201
Bellingham, WA 98225-7367 - Phone
- (360) 927-5695
- NPI assigned
- Jul 26, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA00021869 | WA | Primary |
Addresses
Primary practice location
1050 Larrabee Ave
Ste 201
Bellingham, WA 98225-7367
Mailing address
479 Cain Lake Rd
Sedro Woolley, WA 98284-9583
Phone (360) 595-0361
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 |
|---|---|---|---|
| MA00021869 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336163302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "479 CAIN LAKE RD",
"city": "SEDRO WOOLLEY",
"state": "WA",
"postal_code": "982849583",
"telephone_number": "360-595-0361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 LARRABEE AVE",
"address_2": "STE 201",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982257367",
"telephone_number": "360-927-5695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURLINGAME",
"first_name": "ROCHELLE",
"middle_name": "L",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00021869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.