Christina Lackland

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95011127 Issued in CA

Practice address

2221 Balfour Rd
Brentwood, CA 94513-4932

Phone

(909) 908-3690

NPI assigned

Feb 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HIDHDD/Endpoint/HIDHDD

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.

• Robert E Beer M D Inc

  • Dermatology Physician
  • Brentwood, CA
  • NPI 1801449970
  Medicare reassignment NPD

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1023574423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5337 SUNRISE MEADOWS LN",
            "city": "OAKLEY",
            "state": "CA",
            "postal_code": "945613109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 BALFOUR RD",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945134932",
            "telephone_number": "909-908-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACKLAND",
        "first_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy Ann Krentz, CADCA
• R. Paul Krey, DDS
• Gulshan Kumar, D.D.S.
• Nicole Suzanne Kurthausen-Bon, O.T.
• Shawna Kurz, LMFT
• Mary Ann P Lacson, PT
• Zachary Ladner, PA
• Nadia Lahham
• Paul K. Lam
• Grace Lan, PHARM.D.

• Family Nurse Practitioner in Brentwood, CA
• Providers in Brentwood, 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 Feb 11, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.