Active NPI
Lauren Mersadi Krause
- Behavior Analyst
- Pleasanton, CA
National Provider Identifier
1669922860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- CERT # 1-16-23114
- Practice address
- 3847 Vineyard Ave
Unit D
Pleasanton, CA 94566-6779 - Phone
- (925) 202-7895
- NPI assigned
- Oct 12, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | CERT # 1-16-23114 | CA | Primary |
Addresses
Primary practice location
3847 Vineyard Ave
Unit D
Pleasanton, CA 94566-6779
Mailing address
3847 Vineyard Ave
Unit D
Pleasanton, CA 94566-6779
Phone (925) 202-7895
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476230400000",
"number": "1669922860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3847 VINEYARD AVE",
"address_2": "UNIT D",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945666779",
"telephone_number": "925-202-7895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3847 VINEYARD AVE",
"address_2": "UNIT D",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945666779",
"telephone_number": "925-202-7895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUSE",
"first_name": "LAUREN",
"middle_name": "MERSADI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-12",
"last_updated": "2016-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "CERT # 1-16-23114",
"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 Oct 12, 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.