NPIMap

Individual provider Active NPI

Lauren Blacken, CO

  • Orthotist
  • Bremerton, WA
National Provider Identifier
1538305263
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
O100000462 Issued in WA
Practice address
2500 Cherry Ave Ste 102
Bremerton, WA 98310-4202
Phone
(360) 478-2087
Fax
(360) 405-6303
NPI assigned
Dec 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X O100000462 WA Primary

Addresses

Primary practice location

2500 Cherry Ave Ste 102
Bremerton, WA 98310-4202

Mailing address

2500 Cherry Ave Ste 102
Bremerton, WA 98310-4202
Phone (360) 478-2087

Other names 1

  • Lauren Bradley Former name

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

LicenseStateTypeSpecialty
O100000462WAMDOrthotist

Practice roles

OrganizationSpecialtyStatusNew patients
Hanger Prosthetics & Orthotics West, Inc. Past Accepting new patients
Hanger Prosthetics & Orthotics West Inc. Orthotist Past Accepting new patients

Organizations & group practices 2

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": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230595200000",
    "number": "1538305263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CHERRY AVE STE 102",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104202",
            "telephone_number": "360-478-2087",
            "fax_number": "360-405-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CHERRY AVE STE 102",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104202",
            "telephone_number": "360-478-2087",
            "fax_number": "360-405-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKEN",
        "first_name": "LAUREN",
        "credential": "CO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-30",
        "last_updated": "2008-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "WA",
            "license": "O100000462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "BRADLEY",
            "credential": "CO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; 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.