DR. KATHERINE ROSE LAIS


Address: 855 E Madison Ave, El Cajon, CA 92020-3819
Phone: 6194402751

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 855 E MADISON AVE
City EL CAJON
State CA
Zip Code 92020-3819

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City EL CAJON
Zip Code 92020

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Dataset Information

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.

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