Rebecca Marie Laclaire, QSP

Primary specialty

PerfusionistTaxonomy code 242T00000X

Practice address

1119 University Dr Lot 1609
Bismarck, ND 58504-6614

Phone

(701) 946-0988

NPI assigned

Jun 20, 2022

Reactivated

Nov 24, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Beacon of Strength Supportive Services

  • In Home Supportive Care Agency
  • Duluth, MN
  • NPI 1386375269
  NPD Authorized official

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1972234144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 UNIVERSITY DR LOT 1609",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585046614",
            "telephone_number": "701-946-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 UNIVERSITY DR LOT 1609",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585046614",
            "telephone_number": "701-946-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACLAIRE",
        "first_name": "REBECCA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "QSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-08",
        "deactivation_date": "2023-11-08",
        "reactivation_date": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "242T00000X",
            "taxonomy_group": "",
            "desc": "Perfusionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• L.O Brend DDS PC
• Jennifer Erin Laabs
• Ashley Bourgois Labanca, PMHNP
• Kelsey Amelia Labere, LPCC
• Labs Your Way, LLC
• Kole K Lacy
• Brenda Laduke, LAPC
• Paul Allan Laduke Jr., ATC
• Jenna M Lahr, LSW
• Kennedi Marie Lako, MOTR/L

• Perfusionist in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Perfusionist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.

Verify at the official NPI Registry.