Individual provider Active NPI

Laurinda Enuyami Coker-Howard

  • Nurse Practitioner
  • Campbell, CA
National Provider Identifier
1891574877
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95027411 Issued in CA
Practice address
563 W Latimer Ave
Campbell, CA 95008-1900
Phone
(904) 521-8016
NPI assigned
Sep 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 95027411 CA
Nurse Practitioner 363L00000X 95027411 CA Primary

Addresses

Primary practice location

563 W Latimer Ave
Campbell, CA 95008-1900

Mailing address

563 W Latimer Ave
Campbell, CA 95008-1900
Phone (904) 521-8016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240411004880 CA Practitioner - Nurse Practitioner 7315386281 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rancho Wound Care Center, PC CurrentSince Aug 21, 2025 Accepting new patients
SNF Wound Care CurrentSince Jan 16, 2025 Accepting new patients
Wound Healing Care Specialists, Inc. CurrentSince Mar 15, 2024 Accepting new patients

Locations

1244 Travis Blvd
Fairfield, CA 94533
Phone (707) 422-7750

1832 B St
Hayward, CA 94541
Phone (510) 538-3866

3536 Concours
Ste 225
Ontario, CA 91764
Phone (314) 699-9181

10621 Church St
Ste 120
Rch Cucamonga, CA 91730
Phone (909) 944-0481

11343 Base Line Rd
Rch Cucamonga, CA 91730

25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1891574877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 W LATIMER AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950081900",
            "telephone_number": "904-521-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 W LATIMER AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950081900",
            "telephone_number": "904-521-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COKER-HOWARD",
        "first_name": "LAURINDA",
        "middle_name": "ENUYAMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "95027411",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95027411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

Verify at the official NPI Registry.