Individual provider Active NPI

Ashley Lauderman, FNP

  • Family Nurse Practitioner
  • Menlo Park, CA
National Provider Identifier
1558018978
Registry record updated Mar 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95008306 Issued in CA
Practice address
695 Valparaiso Ave Apt 2
Menlo Park, CA 94025-4252
Phone
(304) 916-3029
NPI assigned
Mar 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95008306 CA Primary

Addresses

Primary practice location

695 Valparaiso Ave Apt 2
Menlo Park, CA 94025-4252

Mailing address

695 Valparaiso Ave Apt 2
Menlo Park, CA 94025-4252
Phone (304) 916-3029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250128000169 CA Practitioner - Nurse Practitioner 0244769800 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95008306CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Medical Center Current Accepting new patients
Enloe Medical Center CurrentSince Oct 31, 2024 Accepting new patients
Enloe Medical Center Past Accepting new patients

Locations

888 Lakeside Vlg Cmns
Chico, CA 95928
Phone (530) 332-6800

1390 E Lassen Ave
Chico, CA 95973
Phone (530) 332-6332

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1646438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646438400000",
    "number": "1558018978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 VALPARAISO AVE APT 2",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254252",
            "telephone_number": "304-916-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 VALPARAISO AVE APT 2",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254252",
            "telephone_number": "304-916-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUDERMAN",
        "first_name": "ASHLEY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-05",
        "last_updated": "2022-03-05",
        "certification_date": "2022-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

Verify at the official NPI Registry.