Active NPI
Kendra Lauruhn
- Dental Hygienist
- Scottsbluff, NE
National Provider Identifier
1740645019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2593
- Practice address
- 1930 E 20TH PL Ste 400
Scottsbluff, NE 69361-2708 - Phone
- (308) 633-2866
- Fax
- (308) 633-2874
- NPI assigned
- Dec 30, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2593 | NE | Primary |
| Dental Hygienist | 124Q00000X | 120 | NE |
Addresses
Primary practice location
1930 E 20TH PL Ste 400
Scottsbluff, NE 69361-2708
Mailing address
1930 E 20TH PL Ste 400
Scottsbluff, NE 69361-2708
Phone (308) 633-2866
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
| License | State | Type | Specialty |
|---|---|---|---|
| 120 | NE | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451433600000",
"number": "1740645019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 E 20TH PL STE 400",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693612708",
"telephone_number": "308-633-2866",
"fax_number": "308-633-2874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 E 20TH PL STE 400",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693612708",
"telephone_number": "308-633-2866",
"fax_number": "308-633-2874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURUHN",
"first_name": "KENDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-30",
"last_updated": "2015-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NE",
"license": "2593",
"primary": true
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NE",
"license": "120",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsbluff, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.