Claude Ward Lauderbach Jr., FNP-C, RN, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704128692NSA17450 Issued in MI

Practice address

36200 Schoolcraft Rd
Livonia, MI 48150-1253

Phone

(734) 432-5482

NPI assigned

Oct 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

76.04 of 100Reported as group

Quality

67.93

Promoting interoperability

100

Improvement activities

40

Cost

52.21

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Nursing Practice Corporation

  • Nurse Practitioner
  • Detroit, MI
  • NPI 1023180106
  Medicare reassignment NPD
• Nursing Practice Corporation

  • Nurse Practitioner
  • Detroit, MI
  • NPI 1629616511
  NPD
• Wellstreet Urgent Care of Michigan

  • Non-Pharmacy Dispensing Site
  • Troy, MI
  • NPI 1649952052
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1871683177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41553 FAWN TRL",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483754817",
            "telephone_number": "810-923-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36200 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501253",
            "telephone_number": "734-432-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUDERBACH",
        "first_name": "CLAUDE",
        "middle_name": "WARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "FNP-C, RN, DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-15",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4734328692",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MI",
            "license": "4734328692",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704128692NSA17450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN LICENSING AND REGULATORY AFFAIRS",
            "identifier": "4704128692NSA1450",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allan J Lasser, D.D.S.
• Demetria Latham, RBT
• Christina Lattner
• Sandra A. L. Laturno, DDS, MS
• Carrie Laudenslager, BS
• Kellsey Launius
• Laurel PK Rehab and Coun Inc
• Laurich Dentistry Livonia
• Dennis G Laurich, DDS
• Kyon Lavant

• Family Nurse Practitioner in Livonia, MI
• Providers in Livonia, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.