Leilani Tehani Keahi Lodevic Fraley, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

718442 Issued in CA

Practice address

22872 Caminito Manresa
Laguna Hills, CA 92653-1114

Phone

(949) 866-0602

NPI assigned

Dec 12, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Leilani Lodevico Fraley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1124896923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22872 CAMINITO MANRESA",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531114",
            "telephone_number": "949-866-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22872 CAMINITO MANRESA",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531114",
            "telephone_number": "949-866-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRALEY",
        "first_name": "LEILANI",
        "middle_name": "TEHANI KEAHI LODEVIC",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "718442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEILANI",
            "last_name": "FRALEY",
            "middle_name": "LODEVICO",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fred Fortun
• Mark Peters Foster, M.D.
• Fountain Valley Regional Sleep Center LLC
• Amy Fox, MFTI
• Delyn Monica Fraley
• Corazon Escusa Francisco, NP
• Karen Francisco
• Francke Oc Chiropractic Neurology Corp
• Priscilla Franco
• Frederick L.Stafford M.D., Inc.

• Registered Nurse in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.