Laura Elizabeth Kishi, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95019558 Issued in CA

Practice address

500 Professional Center Dr Ste 523
Novato, CA 94947-4361

Phone

(415) 308-4718

NPI assigned

Jan 8, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1641600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1750042081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PROFESSIONAL CENTER DR STE 523",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474361",
            "telephone_number": "415-308-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PROFESSIONAL CENTER DR STE 523",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474361",
            "telephone_number": "415-308-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISHI",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-08",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95019558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Y Kim, DO
• Paul Kim, DDS
• Bernardine Victoria King, D.C.
• Stephanie A King, PSYD
• Sheena Kirkbride, LMFT
• Emily Klein
• Monica Egan Knowles, D.C.
• Richard P. Knudsen, M.D.
• Anne-Li Knuut, DDS
• Christine Flanders Koenig, LCSW

• Nurse Practitioner in Novato, CA
• Providers in Novato, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.