La Kedia Charman Banks, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

23015 Issued in CA

Practice address

3801 Miranda Ave
Palo Alto, CA 94304-1207

Phone

(650) 493-5000

NPI assigned

May 8, 2012

Last updated

Jan 4, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aleracare Medical Group of CaliforniaGroup PAC ID 5991138091, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aleracare Medical Group of California

  • Multi-Specialty Clinic/Center
  • Van Nuys, CA
  • NPI 1386286581
  Medicare reassignment Care Compare group NPD
• Aleracare Medical Group of California, a Medical Corporation

  dba AleraCare Medical Group of California

  • Multi-Specialty Clinic/Center
  • Stockton, CA
  • NPI 1164395117
  NPD
• Aleracare Medical Group of California, a Medical Corporation

  • Multi-Specialty Clinic/Center
  • Glendale, CA
  • NPI 1114636578
  NPD (past)
• Aleracare Medical Group of California, a Medical Corporation

  dba AleraCare Medical Group of California

  • Multi-Specialty Clinic/Center
  • Sherman Oaks, CA
  • NPI 1306464979
  NPD (past)
• Aleracare Medical Group of California, a Medical Corporation

  dba AleraCare Medical Group of California

  • Multi-Specialty Clinic/Center
  • Beverly Hills, CA
  • NPI 1356097323
  NPD (past)
• Aleracare Medical Group of California, a Medical Corporation

  dba AleraCare Medical Group of California

  • Multi-Specialty Clinic/Center
  • Mountain View, CA
  • NPI 1396339826
  NPD (past)
• Aleracare Medical Group of California, a Medical Corporation

  dba AleraCare Medical Group of California

  • Multi-Specialty Clinic/Center
  • Berkeley, CA
  • NPI 1629651153
  NPD (past)
• Aleracare Medical Group of California, a Medical Corporation

  dba AleraCare Medical group of California

  • Multi-Specialty Clinic/Center
  • Santa Monica, CA
  • NPI 1699341644
  NPD (past)
• Aleracare Medical Group of California, a Medical Corporation

  dba AleraCare Medical Group of California

  • Multi-Specialty Clinic/Center
  • San Jose, CA
  • NPI 1962044057
  NPD (past)

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1023377231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MAPLE LN",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943031347",
            "telephone_number": "205-213-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MIRANDA AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041207",
            "telephone_number": "650-493-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKS",
        "first_name": "LA KEDIA",
        "middle_name": "CHARMAN",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23015",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "840790",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "AL",
            "license": "1-115189",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Allen Balster, MD PHD
• Tammy Baltic, NP
• Krisia Maria Banegas Carballo, M.D.
• Sarah Banerji, MD
• Shamieh Waddah Banihani, MD
• Yair Bannett, MD
• Jean Jingzhi Bao, MD
• Cassandra Barajas
• Joan M Baran, PHD
• Hugh Baras, PH.D.

• Family Nurse Practitioner in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.