Active NPI
Laura L Buchwald
- Specialist
- Renton, WA
National Provider Identifier
1851005813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 9320
- Practice address
- 121 Pelly Ave N
Renton, WA 98057-5714 - Phone
- (206) 743-1933
- NPI assigned
- Jan 12, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 9320 | CA | Primary |
Addresses
Primary practice location
121 Pelly Ave N
Renton, WA 98057-5714
Mailing address
1307 12TH St NE
Auburn, WA 98002-3535
Phone (206) 503-6606
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 |
|---|---|---|---|
| 9320 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673481600000",
"number": "1851005813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 12TH ST NE",
"city": "AUBURN",
"state": "WA",
"postal_code": "980023535",
"telephone_number": "206-503-6606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 PELLY AVE N",
"city": "RENTON",
"state": "WA",
"postal_code": "980575714",
"telephone_number": "206-743-1933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHWALD",
"first_name": "LAURA",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-12",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "9320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.