Laura Gates

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1314 N Hiawatha
Suite 100
Pipestone, MN 56164-5616

Phone

(507) 339-4933

NPI assigned

Jul 16, 2021

Sex

Female

Sole proprietor

Yes

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.

• SWWC Service Cooperatives

  • Local Education Agency (LEA)
  • Marshall, MN
  • NPI 1043316235
  NPD
• SWWC Service Cooperatives

  • Early Intervention Provider Agency
  • Montevideo, MN
  • NPI 1083175442
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 16, 2021.

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1689246787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 NORTH HIAWATHA",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "56164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 N HIAWATHA",
            "address_2": "SUITE 100",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "561645616",
            "telephone_number": "507-339-4933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Saturn St N",
            "address_purpose": "LOCATION",
            "city": "Cosmos",
            "state": "MN",
            "postal_code": "562289757",
            "country_code": "US",
            "telephone_number": "507-339-4933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2419 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Montevideo",
            "state": "MN",
            "postal_code": "562652619",
            "country_code": "US",
            "telephone_number": "507-339-4933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GATES",
        "first_name": "LAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Ann Elling Przybilla, LICSW
• Nathan Dale Everson, PA-C
• Falls Landing Assisted Living
• Rebecca Fitzgerald, RBT
• Shauna Gansen, CRNA
• Nicole Lamore Grandsberry
• Morgan Guardado
• Sarah Hacker, BS
• Danica Marie Hegstad
• Paul A. Henriksen, O.D.

• All providers in Pipestone, MN
• Behavior Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.