Kisha Lawson Elder, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11436 Issued in CA

Practice address

1920 6TH St
Apt 454
Santa Monica, CA 90405-1285

Phone

(310) 210-1886

NPI assigned

Sep 23, 2014

Last updated

Sep 23, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kisha Lawson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1184026981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 6TH ST",
            "address_2": "APT 454",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904051285",
            "telephone_number": "310-210-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 6TH ST",
            "address_2": "APT 454",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904051285",
            "telephone_number": "310-210-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDER",
        "first_name": "KISHA",
        "middle_name": "LAWSON",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "11436",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "11436",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KISHA",
            "last_name": "LAWSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Daniel G. Eldredge, M.F.T.
• Matthew Lockwood Eldridge, NP
• Earlyn Ancheta Eleria
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• Shannel Helen Kassis Elhelou, PSY.D.

• Nurse Practitioner in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.

Verify at the official NPI Registry.