Individual provider Active NPI

Kathryn J Lauer, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • West Hollywood, CA
National Provider Identifier
1700303823
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95011378 Issued in CA
Practice address
8235 Santa Monica Blvd Ste 302
West Hollywood, CA 90046-5969
Phone
(888) 684-2779
NPI assigned
Aug 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F402246-1 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95011378 CA Primary

Addresses

Primary practice location

8235 Santa Monica Blvd Ste 302
West Hollywood, CA 90046-5969

Mailing address

1200 S Figueroa St Apt 2620
Los Angeles, CA 90015-4462

Other practice location 1

15 Park Row Apt 8C
New York, NY 10038-2323
Phone (860) 798-5979

Other practice location 2

350 Cambridge Ave Ste 125
Palo Alto, CA 94306-1550
Phone (650) 800-7907

Other names 1

  • Kathryn J Mitchell Former name

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F402246-1NYMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1700303823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S FIGUEROA ST APT 2620",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900154462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8235 SANTA MONICA BLVD STE 302",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465969",
            "telephone_number": "888-684-2779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Park Row Apt 8C",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100382323",
            "country_code": "US",
            "telephone_number": "860-798-5979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 Cambridge Ave Ste 125",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943061550",
            "country_code": "US",
            "telephone_number": "650-800-7907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAUER",
        "first_name": "KATHRYN",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F402246-1",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95011378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "MITCHELL",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.