Laurette Elberta Minagawa, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN494701 Issued in CA

Practice address

Rady Children's Hospital and Health Center
3020 Children's Way, MC 5030
San Diego, CA 92123

Phone

(858) 966-4003

Fax

(858) 560-6798

NPI assigned

Jan 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Laurette Elberta Mouat Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lmouat11684@radychildrens.direct-ci.com

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.

• Marilyn Kaufhold, M.D., a Medical Corporation

  • Children's Hospital
  • San Diego, CA
  • NPI 1336359389
  NPD (past)
• Rady Childrens Hospital San Diego

  • Children's Hospital
  • San Diego, CA
  • NPI 1114059532
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699820878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 W LEWIS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031725",
            "telephone_number": "619-262-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RADY CHILDREN'S HOSPITAL AND HEALTH CENTER",
            "address_2": "3020 CHILDREN'S WAY, MC 5030",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "858-966-4003",
            "fax_number": "858-560-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINAGAWA",
        "first_name": "LAURETTE",
        "middle_name": "ELBERTA",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "RN494701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURETTE",
            "last_name": "MOUAT",
            "middle_name": "ELBERTA",
            "credential": "PNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tianna Marie Mims, ASW
• Andrew Min, MD, MPH
• Aung Naing Min, MD
• Mina Habibian DMD PHD Dental Corporation (Sabre Sprigns Dentistry)
• Winston Caesar Mina, MD
• Rahn Yukio Minagawa, PH.D.
• Rosangela Minakawa
• Chelsea Kate Minaldo
• Allison Huffman Minarcik, MD
• Lauran Ashley Minark, OTD

• Pediatric Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.