Individual provider Active NPI

Lauren Krumholz Edwards, MS, OT/L

  • Occupational Medicine Physician
  • San Luis Obispo, CA
National Provider Identifier
1619520905
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
11991 Issued in CA
Practice address
3421 Empresa Dr Ste D
San Luis Obispo, CA 93401-7364
Phone
(805) 783-2390
NPI assigned
Jul 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 11991 CA Primary

Addresses

Primary practice location

3421 Empresa Dr Ste D
San Luis Obispo, CA 93401-7364

Mailing address

150 Ralph Beck LN
Arroyo Grande, CA 93420-2904
Phone (805) 440-1955

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
11991CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Lauren Edwards Pelvic Health LLC CurrentSince Apr 24, 2022 Accepting new patients

Locations

3421 Empresa Dr
Ste D
Sn Luis Obisp, CA 93401
Phone (805) 783-2390

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.

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1619520905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 RALPH BECK LN",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934202904",
            "telephone_number": "805-440-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 EMPRESA DR STE D",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017364",
            "telephone_number": "805-783-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "LAUREN",
        "middle_name": "KRUMHOLZ",
        "credential": "MS, OT/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "11991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.