Individual provider Active NPI

Lauren Blair Fontenot, FNP

  • Family Nurse Practitioner
  • Oakland, CA
National Provider Identifier
1376327247
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
235187 Issued in LA
Practice address
One Kaiser Plaza
17 Bayside
Oakland, CA 94612-3610
Phone
(650) 301-4535
NPI assigned
Aug 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Infection Control Registered Nurse 163WI0600X 95126679 CA
Family Nurse Practitioner 363LF0000X 95029736 CA
Family Nurse Practitioner 363LF0000X 78163 NM
Family Nurse Practitioner 363LF0000X 878253 NV
Family Nurse Practitioner 363LF0000X 10026051 OR
Family Nurse Practitioner 363LF0000X 235187 LA Primary

Addresses

Primary practice location

One Kaiser Plaza
17 Bayside
Oakland, CA 94612-3610

Mailing address

13386 Airline Hwy Ste B
Gonzales, LA 70737-6601
Phone (225) 310-1201

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95126679CAMDInfection Control Registered Nurse
95029736CAMDFamily Nurse Practitioner
235187LAMDFamily Nurse Practitioner
78163NMMDFamily Nurse Practitioner
878253NVMDFamily Nurse Practitioner
10026051ORMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1376327247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13386 AIRLINE HWY STE B",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707376601",
            "telephone_number": "225-310-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE KAISER PLAZA",
            "address_2": "17 BAYSIDE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123610",
            "telephone_number": "650-301-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "LAUREN",
        "middle_name": "BLAIR",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "CA",
            "license": "95126679",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029736",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "78163",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "878253",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10026051",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "235187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.