Individual provider Active NPI

Lauryn Elizabeth Hopper

  • Certified Registered Nurse Anesthetist
  • Fresno, CA
National Provider Identifier
1285204537
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NA95001973 Issued in CA
Practice address
2880 E Shepherd Ave Apt 155
Fresno, CA 93720-3997
Phone
(602) 309-4351
NPI assigned
Jun 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NA95001973 CA Primary

Addresses

Primary practice location

2880 E Shepherd Ave Apt 155
Fresno, CA 93720-3997

Mailing address

2880 E Shepherd Ave Apt 155
Fresno, CA 93720-3997
Phone (602) 309-4351

Other names 1

  • Lauryn Elizabeth Rutherford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230720001747 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315307451 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Consultants of FresnoGroup PAC ID 8527967082, 64 clinicians
Hypnos Anesthesia a Nursing CorporationGroup PAC ID 7517495880, 8 clinicians

Practice addresses (Care Compare)

1303 E Herndon Ave
Fresno, CA 93720-3309

1332 W Herndon Ave
Suite 102
Fresno, CA 93711-7118
Phone (559) 440-9640

1360 E Spruce Ave
Suite 101a
Fresno, CA 93720-3378
Phone (559) 437-5645

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NA95001973CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Creek Anesthesia Services, Inc. Anesthesiology CurrentSince Aug 1, 2023 Accepting new patients
Anesthesia Consultants of Fresno Anesthesiology CurrentSince Jun 8, 2023 Accepting new patients
Hypnos Anesthesia a Nursing Corporation Nurse Anesthetist, Certified Registered CurrentSince Nov 10, 2024 Accepting new patients
C P G Past Accepting new patients

Locations

1360 E Spruce Ave
Fresno, CA 93720
Phone (559) 341-8862

1332 W Herndon Ave
Ste 102
Fresno, CA 93711
Phone (559) 440-9640

1360 E Spruce Ave
Ste 101A
Fresno, CA 93720
Phone (559) 437-5645

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1285204537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 E SHEPHERD AVE APT 155",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203997",
            "telephone_number": "602-309-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 E SHEPHERD AVE APT 155",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203997",
            "telephone_number": "602-309-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPPER",
        "first_name": "LAURYN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA95001973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURYN",
            "last_name": "RUTHERFORD",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.