Individual provider Active NPI

Laura Servid, OT

  • Occupational Therapist
  • Seattle, WA
National Provider Identifier
1982697488
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT00000544 Issued in WA
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

Updated by the provider on Sep 15, 2010

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 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

IdentifierTypeStateIssuer
SE2924OtherWABLUE CROSS
SE2924OtherWAPREMERA
SE2924OtherWAREGENCE
103625OtherWAWA STATE DEPT. LABOR/INDU

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
OT00000544WAMDOccupational 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.

Verify at the official NPI Registry.