Active NPI
John Andrew St. Laurent Sr., L.M.P
- Specialist
- Kent, WA
National Provider Identifier
1356589865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA 60065251
- Practice address
- 12950 SE Kent Kangley Rd
Kent, WA 98030-7940 - Phone
- (253) 630-9395
- Fax
- (253) 639-2219
- NPI assigned
- Jan 22, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA 60065251 | WA | Primary |
Addresses
Primary practice location
12950 SE Kent Kangley Rd
Kent, WA 98030-7940
Mailing address
12950 SE Kent Kangley Rd
Kent, WA 98030-7940
Phone (253) 630-9395
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 |
|---|---|---|---|
| MA 60065251 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr John a Wood DC PS | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Kent, WA
- NPI 1811170442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232582400000",
"number": "1356589865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12950 SE KENT KANGLEY RD",
"city": "KENT",
"state": "WA",
"postal_code": "980307940",
"telephone_number": "253-630-9395",
"fax_number": "253-639-2219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12950 SE KENT KANGLEY RD",
"city": "KENT",
"state": "WA",
"postal_code": "980307940",
"telephone_number": "253-630-9395",
"fax_number": "253-639-2219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST. LAURENT",
"first_name": "JOHN",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "L.M.P",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-22",
"last_updated": "2009-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA 60065251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.