Active NPI
Lauren Proteau, ARNP
- Family Nurse Practitioner
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- N361113911
- Practice address
- 107 S Division St
Spokane, WA 99202-1510 - Phone
- (509) 838-4651
- NPI assigned
- Nov 3, 2020
- Last updated
- Mar 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | N361113911 | WA | Primary |
Addresses
Primary practice location
107 S Division St
Spokane, WA 99202-1510
Mailing address
107 S Division St
Spokane, WA 99202-1510
Phone (509) 838-4651
Other practice location 1
505 E North Foothills Dr
Spokane, WA 99207-2101
Phone (509) 838-4651
Other practice location 2
1401 N Calispel St
Spokane, WA 99201-2317
Phone (509) 838-4651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N361113911 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frontier Behavioral Health | Family | Current | Accepting new patients |
| Thira Health | Past | Accepting new patients |
Locations
107 S Division St
Spokane, WA 99202
Phone (509) 383-4651
1401 N Calispel St
Spokane, WA 99201
Phone (406) 740-2150
505 E North Foothills Dr
Spokane, WA 99207
Phone (509) 325-5502
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- Bellevue, WA
- NPI 1720483480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1710588108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 S DIVISION ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021510",
"telephone_number": "509-838-4651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 S DIVISION ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021510",
"telephone_number": "509-838-4651"
}
],
"practiceLocations": [
{
"address_1": "505 E North Foothills Dr",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992072101",
"country_code": "US",
"telephone_number": "509-838-4651",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1401 N Calispel St",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992012317",
"country_code": "US",
"telephone_number": "509-838-4651",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PROTEAU",
"first_name": "LAUREN",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-03",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "N361113911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.