Individual provider Active NPI

Laurel Rowberg, PA-C

  • Medical Physician Assistant
  • Spokane, WA
National Provider Identifier
1366802282
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
315 W 9TH Ave Ste 100
Spokane, WA 99204-2501
Phone
(509) 389-8909
Fax
(509) 931-0461
NPI assigned
Mar 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary
Physician Assistant 363A00000X

Addresses

Primary practice location

315 W 9TH Ave Ste 100
Spokane, WA 99204-2501

Mailing address

315 W 9TH Ave Ste 100
Spokane, WA 99204-2501
Phone (509) 903-8991

Other practice location 1

Swedish Medical Center Ballard Campus -Emergency Dept
5300 Tallman Avenue NW
Seattle, WA 98107
Phone (206) 782-2700

Other names 1

  • Laurel Krasin Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170419002106 WA Practitioner - Physician Assistant 2860799954 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services CurrentSince Sep 15, 2017 Accepting new patients
Eastside Emergency Physicians, PLLC CurrentSince Apr 29, 2017 Accepting new patients
Thrive Weight Loss and Medical Clinic LLC Medical Current Accepting new patients

Locations

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020

5300 Tallman Ave NW
Seattle, WA 98107
Phone (206) 781-6209

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

315 W 9th Ave
Ste 100
Spokane, WA 99204
Phone (509) 326-8878

Interoperability endpoints

  • Direct secure messaging: lekrasin@yourcarecommunity.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1366802282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W 9TH AVE STE 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042501",
            "telephone_number": "509-903-8991",
            "fax_number": "509-931-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 9TH AVE STE 100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042501",
            "telephone_number": "509-389-8909",
            "fax_number": "509-931-0461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Swedish Medical Center Ballard Campus -Emergency Dept",
            "address_2": "5300 Tallman Avenue NW",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98107",
            "country_code": "US",
            "telephone_number": "206-782-2700",
            "fax_number": "904-685-8758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROWBERG",
        "first_name": "LAUREL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-04",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREL",
            "last_name": "KRASIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.