Individual provider Active NPI

Laura C Lavelle, F.N.P.

  • Family Nurse Practitioner
  • Pleasanton, CA
National Provider Identifier
1629383435
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14792 Issued in CA
Practice address
5925 W Las Positas Blvd
Pleasanton, CA 94588-8537
Phone
(925) 462-1755
NPI assigned
Aug 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 14792 CA Primary

Addresses

Primary practice location

5925 W Las Positas Blvd
Pleasanton, CA 94588-8537

Mailing address

1836 Tanglewood LN
Brentwood, CA 94513-1768
Phone (415) 377-5707

Other practice location 1

3311 Pacific Ave
Livermore, CA 94550-7007
Phone (925) 462-1755

Other practice location 2

4361 Railroad Ave
Pleasanton, CA 94566-6611
Phone (925) 462-1755

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

Interoperability endpoints

  • Direct secure messaging: llavelle251779@direct.ochin.org

NPI Registry JSON

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629383435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 TANGLEWOOD LN",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945131768",
            "telephone_number": "415-377-5707",
            "fax_number": "650-756-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 W LAS POSITAS BLVD",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888537",
            "telephone_number": "925-462-1755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3311 Pacific Ave",
            "address_purpose": "LOCATION",
            "city": "Livermore",
            "state": "CA",
            "postal_code": "945507007",
            "country_code": "US",
            "telephone_number": "925-462-1755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4361 Railroad Ave",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "CA",
            "postal_code": "945666611",
            "country_code": "US",
            "telephone_number": "925-462-1755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVELLE",
        "first_name": "LAURA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "14792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.