Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lauren Dewalt, AGNP

Individual provider Registered Nurse · NPI 1346603248

Lauren Dewalt, AGNP is a Nurse Practitioner in Long Beach, California. Qualified in 2016, 10 years ago. Practices with Pine Park Health, Inc, a 23-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016
Specialties on file
2
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

3800 Kilroy Airport Way Ste 100
Long Beach, CA 90806-6818
Phone: (562) 527-7600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 95006348 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 835264 (CA)

Record details

NPI number1346603248
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorYes
NPI enumeratedMarch 30, 2016
Last updated in NPPESJanuary 27, 2022
Certification dateJanuary 27, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Pine Park Health, Inc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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