Individual provider Active NPI

Erin Lynn Buzzard, OTR/L

  • Occupational Therapist
  • Gig Harbor, WA
National Provider Identifier
1649780248
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT60786061 Issued in WA
Practice address
6659 Kimball Dr Ste D403
Gig Harbor, WA 98335-5141
Phone
(253) 851-3874
NPI assigned
Oct 9, 2017
Last updated
May 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT60786061 WA Primary
Pediatric Occupational Therapist 225XP0200X OT60786061 WA

Addresses

Primary practice location

6659 Kimball Dr Ste D403
Gig Harbor, WA 98335-5141

Mailing address

7418 Stanich Ave
Gig Harbor, WA 98335-1275
Phone (253) 514-2831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200527002817 WA Practitioner - Occupational Therapist in Private Practice 2567883663 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT60786061WAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Apr 21, 2020 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Apr 21, 2020 Accepting new patients
Sound Family Connection Occupational Therapist Past Accepting new patients
Peas in a Pod Pediatrics PLLC Occupational Therapist Past Accepting new patients

Locations

200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1649780248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7418 STANICH AVE",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351275",
            "telephone_number": "253-514-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6659 KIMBALL DR STE D403",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983355141",
            "telephone_number": "253-851-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUZZARD",
        "first_name": "ERIN",
        "middle_name": "LYNN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-09",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60786061",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "OT60786061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.