Active NPI
La'Rhonda Mashalle Waldrup, NNP, FNP
- Neonatal Nurse Practitioner
- San Diego, CA
National Provider Identifier
1831627181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- NP95006395
- Practice address
- 3010 Childrens Way
San Diego, CA 92123-4223 - Phone
- (858) 966-5818
- NPI assigned
- May 31, 2017
- 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 |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | NP95006395 | CA | Primary |
| Family Nurse Practitioner | 363LF0000X | NP95006395 | CA |
Addresses
Primary practice location
3010 Childrens Way
San Diego, CA 92123-4223
Mailing address
3020 Childrens Way # Mc5008
San Diego, CA 92123-4223
Phone (858) 966-5818
Other practice location 1
2185 Citracado Pkwy
Escondido, CA 92029-4159
Phone (442) 282-3193
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
| License | State | Type | Specialty |
|---|---|---|---|
| NP95006395 | CA | MD | Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood Mar Monte, Inc | Past | Accepting new patients | |
| Children'S Hospital Pediatric Associates, Inc | Past | Accepting new patients | |
| Palomar Health | Past | Accepting new patients | |
| Marilyn Kaufhold, M.D., a Medical Corporation | Past | Accepting new patients | |
| Rady Children'S Hospital San Diego | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Children's Hospital
- San Diego, CA
- NPI 1336359389
-
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
-
- Community Health Clinic/Center
- Sacramento, CA
- NPI 1679526610
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Diego, CA
- NPI 1851303994
-
- Pediatrics Physician
- Boston, MA
- NPI 1457306664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1831627181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 CHILDRENS WAY # MC5008",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234223",
"telephone_number": "858-966-5818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3010 CHILDRENS WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234223",
"telephone_number": "858-966-5818"
}
],
"practiceLocations": [
{
"address_1": "2185 Citracado Pkwy",
"address_purpose": "LOCATION",
"city": "Escondido",
"state": "CA",
"postal_code": "920294159",
"country_code": "US",
"telephone_number": "442-282-3193",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALDRUP",
"first_name": "LA'RHONDA",
"middle_name": "MASHALLE",
"credential": "NNP, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-31",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "CA",
"license": "NP95006395",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP95006395",
"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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.