Latoya Evangelyn Kaubin, SUDPT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CO61357112 Issued in WA

Practice address

17337 Reservation Rd
La Conner, WA 98257-8802

Phone

(360) 466-1024

Fax

(360) 466-7364

NPI assigned

Dec 7, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1649981986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11017 TALLAWHALT WAY",
            "city": "LA CONNER",
            "state": "WA",
            "postal_code": "982579443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17337 RESERVATION RD",
            "city": "LA CONNER",
            "state": "WA",
            "postal_code": "982578802",
            "telephone_number": "360-466-1024",
            "fax_number": "360-466-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUBIN",
        "first_name": "LATOYA",
        "middle_name": "EVANGELYN",
        "credential": "SUDPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO61357112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren B Jaye, CNM
• Alicia Jenkins, PTA
• John K Fischer DDS PS
• David Michael Johnson, PA-C
• Laura Lynne Kasayuli, RDH
• Whitney Ingrid Will Keith, MA, MFTA MHCA
• Lisa Cathleen Kieneker, MD
• Marcus Eric Kuypers, M.D.
• La Conner Drug Store
• La Conner Health and Wellness LLC

• All providers in La Conner, WA
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.