Individual provider Active NPI

Erin Banks, FNP-C

  • Nurse Practitioner
  • Santa Monica, CA
National Provider Identifier
1992347496
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95013236 Issued in CA
Practice address
1301 20TH St Ste 280
Santa Monica, CA 90404-2053
Phone
(310) 829-6789
NPI assigned
Oct 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 835639 CA
Family Nurse Practitioner 363LF0000X 95013236 CA
Nurse Practitioner 363L00000X 95013236 CA Primary

Addresses

Primary practice location

1301 20TH St Ste 280
Santa Monica, CA 90404-2053

Mailing address

1829 Corinth Ave Apt 1
Los Angeles, CA 90025-7048
Phone (404) 451-0734

Other practice location 1

8605 Santa Monica Blvd Ste 16389
West Hollywood, CA 90069-4109
Phone (646) 876-8455

Other practice location 2

2710 Gateway Oaks Dr Ste 150N
Sacramento, CA 95833-3502
Phone (646) 876-8455

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ewert863068@oc.providencedirect.org

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
I20200102002726 CA Practitioner - Nurse Practitioner 0547694317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
96.07
Promoting interoperability
100
Improvement activities
40
Cost
71.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
835639CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Saint Johns Medical Foundation CurrentSince Nov 13, 2019 Accepting new patients

Locations

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

1301 20th St
Ste 280
Santa Monica, CA 90404
Phone (310) 829-6789

Interoperability endpoints

  • Direct secure messaging: ewert863068@oc.providencedirect.org
  • Direct secure messaging: erin.banks.2@22307.direct.athenahealth.com

Organizations & group practices 1

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": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1992347496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 CORINTH AVE APT 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257048",
            "telephone_number": "404-451-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 20TH ST STE 280",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042053",
            "telephone_number": "310-829-6789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8605 Santa Monica Blvd Ste 16389",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "900694109",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "833-314-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2710 Gateway Oaks Dr Ste 150N",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958333502",
            "country_code": "US",
            "telephone_number": "646-876-8455",
            "fax_number": "914-565-8656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANKS",
        "first_name": "ERIN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "835639",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013236",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95013236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ewert863068@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1301 20th St Ste 280",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904042053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.