Lauren Elizabeth Ethridge, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0001284644 Issued in VA

Practice address

5893 Anthony Dr
Woodbridge, VA 22193-3619

Phone

(703) 730-0302

Fax

(703) 730-0300

NPI assigned

Sep 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Easter Seals Ucp North Carolina & Virgiinia, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Salem, VA
  • NPI 1285968818
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1043931660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5893 ANTHONY DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221933619",
            "telephone_number": "703-730-0302",
            "fax_number": "703-730-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5893 ANTHONY DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221933619",
            "telephone_number": "703-730-0302",
            "fax_number": "703-730-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETHRIDGE",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001284644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nahal Esmaeili, D.C.
• Pendar Esmaeili, D.C.
• Essence Behavioral Health Services LLC
• Estafanous PC
• Eterna Care LLC
• Emmanuel Oghenekaro Etuke Jr., LCPC
• Evana Health Services
• Deidre Evans
• Gloria Denise Evans, NP
• Megan Catherine Evans, MSW, QMHP

• Registered Nurse in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.