Anna M Loudenback, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00022069 Issued in WA

Practice address

19655 1St Ave S
Suite 201
Normandy Park, WA 98148-2166

Phone

(206) 200-7042

Fax

(206) 212-7626

NPI assigned

Oct 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Anna M Bush Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1427247493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19655 1ST AVE S",
            "address_2": "SUITE 201",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482166",
            "telephone_number": "206-200-7042",
            "fax_number": "206-212-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19655 1ST AVE S",
            "address_2": "SUITE 201",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482166",
            "telephone_number": "206-200-7042",
            "fax_number": "206-212-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUDENBACK",
        "first_name": "ANNA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00022069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "BUSH",
            "middle_name": "M",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Specialist in Normandy Park, WA
• Providers in Normandy Park, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.