Individual provider Active NPI

Laurie Eastwood Raher, NP

  • Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1629000104
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
498791 Issued in CA
Practice address
6195 Lusk Blvd Ste 250
San Diego, CA 92121-3715
Phone
(858) 859-1188
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 498791 CA Primary

Addresses

Primary practice location

6195 Lusk Blvd Ste 250
San Diego, CA 92121-3715

Mailing address

6195 Lusk Blvd Ste 250
San Diego, CA 92121-3715
Phone (858) 859-1188

Other practice location 1

320 Santa Fe Dr
Suite 204
Encinitas, CA 92024-5138
Phone (760) 944-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Good Measures CurrentSince Oct 15, 2021 Accepting new patients
Geri Connection CurrentSince Jun 15, 2023 Accepting new patients
Senior Medical Associates, Inc. CurrentSince Jul 13, 2023 Accepting new patients
Myndfull Care Management California PC CurrentSince Jun 15, 2023 Accepting new patients
California Care Wellness Medical Center Inc. CurrentSince Jun 15, 2023 Accepting new patients

Locations

400 W Capitol Ave
Ste 1700
Little Rock, AR 72201
Phone (501) 238-3509

15644 Pomerado Rd
Ste 202
Poway, CA 92064
Phone (619) 320-8090

8445 Camino Santa Fe
Ste 215
San Diego, CA 92121
Phone (619) 541-3246

6280 Jackson Dr
Ste 8
San Diego, CA 92119
Phone (619) 464-1607

2810 Camino del Rio S
Ste 102
San Diego, CA 92108
Phone (619) 299-1419

800 W Main St
Ste 1460
Boise, ID 83702
Phone (208) 297-4091

1340 Poydras St
Ste 2000
New Orleans, LA 70112

625 Kenmoor Ave SE
Ste 301
Grand Rapids, MI 49546
Phone (231) 519-8300

1925 Grand Ave
Ste 127
Billings, MT 59102
Phone (406) 206-0800

9436 W Lake Mead Blvd
Ste 5
Las Vegas, NV 89134
Phone (760) 978-8596

145 Pine Haven Shores Rd
Ste 1000
Shelburne, VT 05482
Phone (802) 304-4048

Interoperability endpoints

  • Direct secure messaging: laurie.raher@1066512070934532.direct.elationemr.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1629000104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6195 LUSK BLVD STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213715",
            "telephone_number": "858-859-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6195 LUSK BLVD STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213715",
            "telephone_number": "858-859-1188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Santa Fe Dr",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920245138",
            "country_code": "US",
            "telephone_number": "760-944-7300",
            "fax_number": "760-633-3949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHER",
        "first_name": "LAURIE",
        "middle_name": "EASTWOOD",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "498791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.