Lauren Cabrera, NP
Individual provider Active NPI Adult Health Nurse Practitioner · Dededo, GU
NPI 1992174122 · NPPES record last updated Feb 2, 2021
Key facts
- NPI
- 1992174122
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- NP0176 (GU)
- Practice address
- 133 Route 3
Dededo, GU 96929-6911 - Phone
- (671) 645-5546
- NPI assigned
- Sep 17, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP0176 | GU | MD | Adult Health Nurse Practitioner |
| AP60659246 | WA | MD | Adult Health Nurse Practitioner |
Interoperability endpoints
- lcarter61840@direct.valleymed.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RE2378 | GU | |
| Adult Health Nurse Practitioner | 363LA2200X | AP60659246 | WA | |
| Adult Health Nurse Practitioner | 363LA2200X | RN60659245 | WA | |
| Adult Health Nurse Practitioner | 363LA2200X | 307499 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | NP0176 | GU | Yes |
Addresses
Primary practice location
133 Route 3
Dededo, GU 96929-6911
Mailing address
1270 N. Marine Corps Dr. Ste 101-757
Tamuning, GU 96913-4331
Phone (671) 707-7115
Other practice location 1
1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000
Other practice location 2
400 S 43rd St
Renton, WA 98055-5714
Phone (425) 656-2901
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2069834 | Medicaid | WA |
Other names
- Lauren Cerulli and Carter and Doyle
Other providers in Dededo, GU
- Blue Continent Healthcare Guam Medical City LLC
- Blue Ocean Medical Group LLC
- Trang Bui
- C V Alegria DDS Inc
- Felix T Cabrera
- Hieu T Campus
- Leonila Carbon
- Laura Gail Chaney
- Min Choi
- Chang Hun Chong
All providers in Dededo, GU · Adult Health Nurse Practitioner in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.