Pamela Sue Langenderfer, N.M.D, M.S.O.M., LAC

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NT-1257 Issued in WA

Practice address

518 N 4TH St
Coeur D Alene, ID 83814-2931

Phone

(208) 758-0568

Fax

(833) 810-1162

NPI assigned

Dec 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lakeside Holistic Health, PLLC

  • Naturopath
  • Coeur D'Alene, ID
  • NPI 1669732350

  Acupuncturist

  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1407912470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 N 4TH ST",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142931",
            "telephone_number": "208-758-0568",
            "fax_number": "833-810-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 N 4TH ST",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142931",
            "telephone_number": "208-758-0568",
            "fax_number": "833-810-1162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21651 E Country Vista Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Liberty Lake",
            "state": "WA",
            "postal_code": "990197709",
            "country_code": "US",
            "telephone_number": "509-385-0218",
            "fax_number": "833-810-1162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGENDERFER",
        "first_name": "PAMELA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "N.M.D, M.S.O.M., LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ID",
            "license": "ACU-148",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60282929",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "ID",
            "license": "NAT-4",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "ID",
            "license": "NMD-0020",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT-1257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory James Landry, MD
• Lauren Marie Lane, PA
• Brook Yuknis Lang, M.D.
• Adriana Lange, LCPC
• Brianna Hart Lange, DC
• Shaye Lanouette, MD
• Lap Inc
• Larose Dental PA
• Dustin Larsen
• Michael Lagrande Larsen, MD

• Naturopath in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Naturopath in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.