Active NPI
Laura Lynn O'Bannon, ARNP
- Nurse Practitioner
- Palo Alto, CA
National Provider Identifier
1245349356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 442237
- Practice address
- 3801 Miranda Ave
#111C
Palo Alto, CA 94304-1207 - Phone
- (650) 493-5000
- Fax
- (650) 852-3473
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 442237 | CA | Primary |
Addresses
Primary practice location
3801 Miranda Ave
#111C
Palo Alto, CA 94304-1207
Mailing address
321 Easy St
#8
Mountain View, CA 94043-3768
Phone (650) 625-1784
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 442237 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245349356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 EASY ST",
"address_2": "#8",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940433768",
"telephone_number": "650-625-1784",
"fax_number": "650-852-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 MIRANDA AVE",
"address_2": "#111C",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041207",
"telephone_number": "650-493-5000",
"fax_number": "650-852-3473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BANNON",
"first_name": "LAURA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "442237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.