Active NPI
Nicole Marie Lanouette, MD
- Psychiatry Physician
- San Diego, CA
National Provider Identifier
1750490645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A89709
- Practice address
- 140 Sylvester Rd BLDG 500
San Diego, CA 92106-3521 - Phone
- (619) 553-0276
- Fax
- (619) 553-9448
- NPI assigned
- Aug 30, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A89709 | CA | Primary |
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | A89709 | CA |
Addresses
Primary practice location
140 Sylvester Rd BLDG 500
San Diego, CA 92106-3521
Mailing address
140 Sylvester Rd BLDG 500
San Diego, CA 92106-3521
Phone (619) 553-0276
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A89709 | CA | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1750490645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 SYLVESTER RD BLDG 500",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921063521",
"telephone_number": "619-553-0276",
"fax_number": "619-553-9448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 SYLVESTER RD BLDG 500",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921063521",
"telephone_number": "619-553-0276",
"fax_number": "619-553-9448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANOUETTE",
"first_name": "NICOLE",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A89709",
"primary": true
},
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "CA",
"license": "A89709",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.