Active NPI
Lauren Willis, R.N., M.S.N., P.H.N.
- Registered Nurse
- Gardena, CA
National Provider Identifier
1568828630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 794490
- Practice address
- 2501 W Redondo Beach Blvd
Apt. 340
Gardena, CA 90249-4873 - Phone
- (714) 728-4531
- NPI assigned
- Jan 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 794490 | CA | Primary |
Addresses
Primary practice location
2501 W Redondo Beach Blvd
Apt. 340
Gardena, CA 90249-4873
Mailing address
2501 W Redondo Beach Blvd
Apt. 340
Gardena, CA 90249-4873
Phone (714) 728-4531
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
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 794490 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451952000000",
"number": "1568828630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 W REDONDO BEACH BLVD",
"address_2": "APT. 340",
"city": "GARDENA",
"state": "CA",
"postal_code": "902494873",
"telephone_number": "714-728-4531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 W REDONDO BEACH BLVD",
"address_2": "APT. 340",
"city": "GARDENA",
"state": "CA",
"postal_code": "902494873",
"telephone_number": "714-728-4531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIS",
"first_name": "LAUREN",
"credential": "R.N., M.S.N., P.H.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-05",
"last_updated": "2016-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "794490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.