Giavanna Lau, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

22760 Issued in NE

Practice address

600 Caisson Hill Rd
Irwin Army Community Hospital
Ft Riley, KS 66442-7037

Phone

(402) 469-0643

NPI assigned

Aug 18, 2005

Last updated

Apr 2, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Giavanna P Bouthiette Former name

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• State of Hawaii, Department of Health

  • Community/Behavioral Health Agency
  • Honolulu, HI
  • NPI 1306062690
  Medicare reassignment NPD
• Brighter Day Health LLC

  • Geriatric Psychiatry Physician
  • Kailua, HI
  • NPI 1548502602
  NPD
• State of Hawaii Department of Health

  dba Maui Community Mental Health Center-Wailuku

  • Community/Behavioral Health Agency
  • Wailuku, HI
  • NPI 1295918183
  NPD
• State of Hawaii Department of Health

  • Psychiatry Physician
  • Honolulu, HI
  • NPI 1558223784
  NPD
• Brighter Day Health LLC

  • Geriatric Psychiatry Physician
  • Baxter, MN
  • NPI 1891138053
  NPD (past)
• Hastings Community Psychiatry LLC

  • Psychiatry Physician
  • Hastings, NE
  • NPI 1568568202
  NPD (past)
• State of Nebraska Dept of Admin Services

  dba Beatrice State Developmental Center

  • Intellectual Disabilities Intermediate Care Facility
  • Beatrice, NE
  • NPI 1114085826
  NPD (past)

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1467444232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 OLOMANA ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342217",
            "telephone_number": "402-469-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CAISSON HILL RD",
            "address_2": "IRWIN ARMY COMMUNITY HOSPITAL",
            "city": "FT RILEY",
            "state": "KS",
            "postal_code": "664427037",
            "telephone_number": "402-469-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "GIAVANNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "22760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GIAVANNA",
            "last_name": "BOUTHIETTE",
            "middle_name": "P",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jared Joseph Lampe, O.D.
• John Robert Lane, PT
• Gretchen Treat Larchick, LCSW
• Lori M Larson, LIMHP, LPC, MAC, ACS
• Meredith Marie Lastra, PA-C
• Emilea Lautner, MOTR/L
• Stephen Andrew Lawson, MD
• Tung Van Le, DMD
• Jennelle Lebeau, DO
• June Lee

• Psychiatry Physician in Fort Riley, KS
• Providers in Fort Riley, KS by specialty
• Psychiatry Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.