Individual provider Active NPI

Lauryn Nicole Berglund, OTD, OTR/L

  • Occupational Therapist
  • Denver, CO
National Provider Identifier
1982244422
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6290 Issued in CO
Practice address
7200 E Quincy Ave
Denver, CO 80237-2255
Phone
(303) 221-9611
NPI assigned
Jan 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6290 CO Primary

Addresses

Primary practice location

7200 E Quincy Ave
Denver, CO 80237-2255

Mailing address

201 N 46TH St Apt 1409
Omaha, NE 68132-3264
Phone (402) 536-9054

Other practice location 1

14055 E Quincy Ave
Aurora, CO 80015-1146
Phone (303) 680-4729

Other practice location 2

6021 S Liverpool St
Centennial, CO 80016-6209
Phone (720) 870-9007

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6290COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1982244422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N 46TH ST APT 1409",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681323264",
            "telephone_number": "402-536-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 E QUINCY AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802372255",
            "telephone_number": "303-221-9611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14055 E Quincy Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800151146",
            "country_code": "US",
            "telephone_number": "303-680-4729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6021 S Liverpool St",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "800166209",
            "country_code": "US",
            "telephone_number": "720-870-9007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGLUND",
        "first_name": "LAURYN",
        "middle_name": "NICOLE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "6290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.