Individual provider Active NPI

Laurel Louderbaugh, RN, MN, ARNP-C

  • Nurse Practitioner
  • Iola, KS
National Provider Identifier
1891724571
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
45472 Issued in KS
Practice address
1408 East St
Iola, KS 66749-4402
Phone
(620) 365-3115
Fax
(620) 365-7717
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 45472 KS Primary

Addresses

Primary practice location

1408 East St
Iola, KS 66749-4402

Mailing address

1408 East St
Iola, KS 66749-4402
Phone (620) 365-3115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20040823000572 KS Practitioner - Nurse Practitioner 5799759130 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
45472KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coffey County Medical Center CurrentSince May 21, 2014 Accepting new patients
Coffey County Hospital Current Accepting new patients
Coffey County Hospital CurrentSince May 21, 2014 Accepting new patients
Coffey County Hospital CurrentSince May 21, 2014 Accepting new patients
Coffey County Medical Center Past Accepting new patients
Coffey County Medical Center Past Accepting new patients
Coffey County Medical Center Past Accepting new patients

Locations

801 N 4th St
Burlington, KS 66839
Phone (620) 364-2121

309 Sanders St
Burlington, KS 66839
Phone (620) 364-2121

321 Atherly St
Gridley, KS 66852
Phone (620) 836-2915

1004 E Madison St
Yates Center, KS 66783
Phone (620) 625-2312

Interoperability endpoints

  • Direct secure messaging: llouderbaugh@coffeyhealthdirect.org

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coffey County Hospital 15 clinicians
Coffey County Medical Center 14 clinicians

Practice addresses (Care Compare)

110 S 6TH St
Suite 202
Burlington, KS 66839-1798

309 Sanders St
Burlington, KS 66839-2616
Phone (620) 364-5395

801 N 4TH St
Burlington, KS 66839-2602
Phone 62036421214182

Hospital & facility affiliations

  • Coffey County Hospital Hospital, Burlington, KS, CCN 171385

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1891724571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 EAST ST",
            "city": "IOLA",
            "state": "KS",
            "postal_code": "667494402",
            "telephone_number": "620-365-3115",
            "fax_number": "620-365-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 EAST ST",
            "city": "IOLA",
            "state": "KS",
            "postal_code": "667494402",
            "telephone_number": "620-365-3115",
            "fax_number": "620-365-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUDERBAUGH",
        "first_name": "LAUREL",
        "credential": "RN, MN, ARNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "45472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iola, KS

Sources for this page

Verify at the official NPI Registry.