Active NPI
Lauren Blair Fontenot, FNP
- Family Nurse Practitioner
- Oakland, CA
National Provider Identifier
1376327247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 235187
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 95126679 | CA | MD | Infection Control Registered Nurse |
| 95029736 | CA | MD | Family Nurse Practitioner |
| 235187 | LA | MD | Family Nurse Practitioner |
| 78163 | NM | MD | Family Nurse Practitioner |
| 878253 | NV | MD | Family Nurse Practitioner |
| 10026051 | OR | MD | Family 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.