Individual provider Active NPI

Lauren Abrahamson, CNM, NP, MSN

  • Advanced Practice Midwife
  • Walnut Creek, CA
National Provider Identifier
1225695869
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
236036 Issued in CA
Practice address
112 La Casa Via Ste 300
Walnut Creek, CA 94598-3059
Phone
(925) 239-0012
NPI assigned
May 20, 2019
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 95011744 CA
Advanced Practice Midwife 367A00000X 236036 CA Primary

Addresses

Primary practice location

112 La Casa Via Ste 300
Walnut Creek, CA 94598-3059

Mailing address

737 N Claret LN
Mountain House, CA 95391-1285
Phone (510) 909-4485

Other identifiers 2

IdentifierTypeStateIssuer
236036OtherCACNM
95011744OtherCAWHNP

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190716001992 CA Practitioner - Nurse Practitioner 2668707423 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95011744CAMDWomen's Health Nurse Practitioner
236036CAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Surgical Specialists Inc a Medical Corporation CurrentSince Jul 1, 2019 Accepting new patients
Bass Medical Group Current Accepting new patients
Bass Medical Group CurrentSince Jul 1, 2019 Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

112 La Casa Via
Ste 300
Walnut Creek, CA 94598
Phone (925) 239-0012

Interoperability endpoints

  • Direct secure messaging: labrahamson128708@ehr.johnmuirhealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1225695869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 N CLARET LN",
            "city": "MOUNTAIN HOUSE",
            "state": "CA",
            "postal_code": "953911285",
            "telephone_number": "510-909-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 LA CASA VIA STE 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983059",
            "telephone_number": "925-239-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAMSON",
        "first_name": "LAUREN",
        "credential": "CNM, NP, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95011744",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "236036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CNM",
            "identifier": "236036",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WHNP",
            "identifier": "95011744",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.