Active NPI
Laura Servid, OT
- Occupational Therapist
- Seattle, WA
National Provider Identifier
1982697488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT00000544
- Practice address
- 1507 N 40TH St
Seattle, WA 98103-8137 - Phone
- (206) 547-6033
- Fax
- (206) 547-6033
- NPI assigned
- Aug 30, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT00000544 | WA | Primary |
Addresses
Primary practice location
1507 N 40TH St
Seattle, WA 98103-8137
Mailing address
1507 N 40TH St
Seattle, WA 98103-8137
Phone (206) 547-6033
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SE2924 | Other | WA | BLUE CROSS |
| SE2924 | Other | WA | PREMERA |
| SE2924 | Other | WA | REGENCE |
| 103625 | Other | WA | WA STATE DEPT. LABOR/INDU |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120131000527 | WA | Practitioner - Occupational Therapist in Private Practice | 0244497485 | Practice locations: Seattle, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1974
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1507 N 40TH St
Seattle, WA 98103-8137
Phone (206) 547-6033
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT00000544 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284508800000",
"number": "1982697488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 N 40TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981038137",
"telephone_number": "206-547-6033",
"fax_number": "206-547-6033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 N 40TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981038137",
"telephone_number": "206-547-6033",
"fax_number": "206-547-6033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERVID",
"first_name": "LAURA",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-30",
"last_updated": "2010-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT00000544",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "SE2924",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMERA",
"identifier": "SE2924",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "SE2924",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE DEPT. LABOR/INDU",
"identifier": "103625",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.