Active NPI
Andrea Arthur, N.P.
- Family Nurse Practitioner
- Lake Elsinore, CA
National Provider Identifier
1134496490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP20925
- Practice address
- 31739 Riverside Dr Ste A1
Lake Elsinore, CA 92530-7818 - Phone
- (951) 245-0505
- NPI assigned
- Nov 30, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP20925 | CA | Primary |
Addresses
Primary practice location
31739 Riverside Dr Ste A1
Lake Elsinore, CA 92530-7818
Mailing address
31739 Riverside Dr Ste A1
Lake Elsinore, CA 92530-7818
Phone (951) 245-0505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP20925 | CA | MD | Family Nurse Practitioner |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CEHGCD/Endpoint/CEHGCD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393891200000",
"number": "1134496490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31739 RIVERSIDE DR STE A1",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925307818",
"telephone_number": "951-245-0505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31739 RIVERSIDE DR STE A1",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925307818",
"telephone_number": "951-245-0505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARTHUR",
"first_name": "ANDREA",
"name_prefix": "Mrs.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-30",
"last_updated": "2014-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP20925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Elsinore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.