DR. KATHERINE ROSE LAIS (NPI# 1972929404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972929404 |
Entity Type | Individual |
Full Name | DR. KATHERINE ROSE LAIS |
Other Name | DR. KATHERINE ROSE GOEHRING |
Credential | DNP, PMHNP-BC |
Practice Address |
855 E Madison Ave El Cajon CA 92020-3819 |
Mailing Address |
3050 Rue Dorleans Unit 382 San Diego CA 92110-5927 |
Practice Telephone | 6194402751 |
Practice Fax Number | 6194402945 |
Mailing Telephone | 5125710440 |
Enumeration Date | 2014-03-07 |
Last Update Date | 2020-09-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 840984 | CA | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95002763 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
855 E MADISON AVE |
City | EL CAJON |
State | CA |
Zip Code | 92020-3819 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659301547 | Katherine Francis | Pediatrics | 855 E Madison Ave, El Cajon, CA 92020-3819 | 2006-07-04 |
1437768017 | Alisia Alyas | Physician Assistant | 855 E Madison Ave, El Cajon, CA 92020-3819 | 2020-07-29 |
1558826719 | Ellery Bouwkamp | Physician Assistant | 855 E Madison Ave, El Cajon, CA 92020-3819 | 2019-02-01 |
1265966006 | Hannah Green | Family Medicine | 855 E Madison Ave, El Cajon, CA 92020-3819 | 2017-04-19 |
1255726154 | Benison Lau | Internal Medicine | 855 E Madison Ave, El Cajon, CA 92020-3819 | 2015-03-30 |
1477951523 | Lindsay Summers | Physician Assistant | 855 E Madison Ave, El Cajon, CA 92020-3819 | 2014-12-05 |
1457769333 | Wegdan Hanna-haddad | Psychologist | 855 E Madison Ave, El Cajon, CA 92020-3819 | 2014-07-24 |
1043655004 | Arim Jayne Lee | Family Medicine | 855 E Madison Ave, El Cajon, CA 92020-3819 | 2013-05-05 |
1083059265 | Judith Anne Tessema | Family Medicine | 855 E Madison Ave, El Cajon, CA 92020-3819 | 2013-05-01 |
1801141163 | Justin Eli Mallit | Physician Assistant | 855 E Madison Ave, El Cajon, CA 92020-3819 | 2012-07-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447877840 | Margarito Alejandro Torres | Behavior Technician | 1005 S. Sunshine Ave, El Cajon, CA 92020 | 2020-07-01 |
1619503166 | Stella Zeicu Varagic | Dentist | 2526 Fletcher Pkwy, El Cajon, CA 92020 | 2020-03-17 |
1548827819 | Unexpected Possibilities, Inc | Non-emergency Medical Transport (VAN) | 1015 El Cajon Blvd # A, El Cajon, CA 92020 | 2019-05-22 |
1083175707 | Maricela Uriarte D.d.s | Dentist | 164 W Park Ave, El Cajon, CA 92020 | 2019-03-26 |
1881153963 | Rubeleta Medina | Nurse Practitioner | 1908 Friendship Drive, El Cajon, CA 92020 | 2019-03-18 |
1235619800 | Melissa Gomez | Counselor | 1600 Cuyamaca St, El Cajo, CA 92020 | 2018-08-14 |
1013407790 | Erin Metcalf | Family Medicine | 133 W Main St., 240, El Cajon, CA 92020 | 2018-05-17 |
1326535220 | Diana Orozco | Counselor | 1870cordell Court, Suite 101, El Cajon, CA 92020 | 2018-04-16 |
1104330646 | Mercy Air Service, Inc. | Ambulance | 545 Kenney St Ste G1a, El Cajon, CA 92020 | 2017-11-20 |
1790296184 | Way Cool Homecare, Inc | In Home Supportive Care | 900 N. Cuyamaca Street, Ste 201, El Cajon, CA 92020 | 2017-10-12 |
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Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841832599 | Negean Shahnematollahi | Nurse Practitioner | 11502 Avenida Marcella, El Cajon, CA 92019-4806 | 2019-10-15 |
1427489343 | Monique Sawyer | Nurse Practitioner | 1460 E Main St, El Cajon, CA 92021-8617 | 2013-12-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.