Individual provider Active NPI

Laurel O'Gormley, LMP

  • Specialist
  • Burlington, WA
National Provider Identifier
1669659652
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00023644 Issued in WA
Practice address
325 E George Hopper Rd Ste 106
Burlington, WA 98233-3154
Phone
(360) 707-2300
Fax
(360) 707-2026
NPI assigned
Jan 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00023644 WA Primary

Addresses

Primary practice location

325 E George Hopper Rd Ste 106
Burlington, WA 98233-3154

Mailing address

325 E George Hopper Rd Ste 106
Burlington, WA 98233-3154
Phone (360) 707-2300

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
MA00023644WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Soul Specialist Past Accepting new patients
Bella Soul Massagetherapy and Spa Inc. Specialist 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": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1669659652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E GEORGE HOPPER RD STE 106",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982333154",
            "telephone_number": "360-707-2300",
            "fax_number": "360-707-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E GEORGE HOPPER RD STE 106",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982333154",
            "telephone_number": "360-707-2300",
            "fax_number": "360-707-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'GORMLEY",
        "first_name": "LAUREL",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00023644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.