Laramie Cosio Punzalan

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95025974 Issued in CA

Practice address

337 E Kings St
Avenal, CA 93204-1630

Phone

(559) 386-5200

NPI assigned

Jul 18, 2023

Last updated

Aug 6, 2023By the provider in NPPES

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

State licenses

Practice roles

Locations

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.

• Reedley Community Hospital

  dba Adventist Health Reedley

  • General Acute Care Hospital
  • Reedley, CA
  • NPI 1336167550
  Medicare reassignment NPD
• Reedley Community Hospital

  dba Adventist Health Reedley

  • Rural Health Clinic/Center
  • Earlimart, CA
  • NPI 1821699620
  NPD

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691280000000",
    "number": "1225718992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 E KINGS ST",
            "city": "AVENAL",
            "state": "CA",
            "postal_code": "932041630",
            "telephone_number": "559-386-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 E KINGS ST",
            "city": "AVENAL",
            "state": "CA",
            "postal_code": "932041630",
            "telephone_number": "559-386-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 E Fresno St",
            "address_purpose": "LOCATION",
            "city": "Avenal",
            "state": "CA",
            "postal_code": "932041525",
            "country_code": "US",
            "telephone_number": "559-386-5364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUNZALAN",
        "first_name": "LARAMIE",
        "middle_name": "COSIO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-08-06",
        "certification_date": "2023-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Penner, PSYD
• Dolphus D Pierce, D.C
• Barry Stephen Povalitis
• Preferred Drug Co., Inc. (Tomer Drug Company)
• David Carl Price, REGISTERED NURSE
• Mariah Ramos
• Angelica Ruby Rea
• Reedley Community Hospital (Adventist Health Community Care - Avenal)
• Reedley Community Hospital (Adventist Health Reedley - Avenal West)
• Reef-Sunset Unified School District

• Family Nurse Practitioner in Avenal, CA
• Providers in Avenal, 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 Aug 6, 2023; 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.