Active NPI
Lauri May Whitaker, APN, CNM
- Advanced Practice Midwife
- Reno, NV
National Provider Identifier
1750330023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- APN000734
- Practice address
- 975 Ryland St
Suite 105
Reno, NV 89502-1667 - Phone
- (775) 982-5640
- Fax
- (775) 982-5641
- NPI assigned
- May 6, 2006
- Last updated
- May 21, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | APN000734 | NV | |
| Advanced Practice Midwife | 367A00000X | APN000734 | NV | Primary |
| Registered Nurse | 163W00000X | RN25658 | NV |
Addresses
Primary practice location
975 Ryland St
Suite 105
Reno, NV 89502-1667
Mailing address
780 Kuenzli St
Suite 202
Reno, NV 89502-0845
Phone (775) 982-4590
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750330023 | Medicaid | NV | |
| 01262133 | Other | AMERIGROUP | |
| 11974233 | Other | CAQH |
Other names 1
- Lauri M Bracken
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN25658 | NV | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1750330023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 KUENZLI ST",
"address_2": "SUITE 202",
"city": "RENO",
"state": "NV",
"postal_code": "895020845",
"telephone_number": "775-982-4590",
"fax_number": "775-982-4595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 RYLAND ST",
"address_2": "SUITE 105",
"city": "RENO",
"state": "NV",
"postal_code": "895021667",
"telephone_number": "775-982-5640",
"fax_number": "775-982-5641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITAKER",
"first_name": "LAURI",
"middle_name": "MAY",
"credential": "APN, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-06",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "NV",
"license": "APN000734",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NV",
"license": "APN000734",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NV",
"license": "RN25658",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1750330023",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "01262133",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11974233",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAURI",
"last_name": "BRACKEN",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.