Individual provider Active NPI

Lauren Stephanie Siems, C.G.C.

  • Genetic Counselor (M.S.)
  • Los Angeles, CA
National Provider Identifier
1053860874
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
GC000762 Issued in CA
Practice address
328 S Cloverdale Ave
Apt 106
Los Angeles, CA 90036-6603
Phone
(847) 345-4380
NPI assigned
Sep 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X GC000762 CA Primary

Addresses

Primary practice location

328 S Cloverdale Ave
Apt 106
Los Angeles, CA 90036-6603

Mailing address

328 S Cloverdale Ave
Apt 106
Los Angeles, CA 90036-6603
Phone (847) 345-4380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
GC000762CAMDGenetic Counselor (M.S.)

NPI Registry JSON

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1053860874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 S CLOVERDALE AVE",
            "address_2": "APT 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900366603",
            "telephone_number": "847-345-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 S CLOVERDALE AVE",
            "address_2": "APT 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900366603",
            "telephone_number": "847-345-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEMS",
        "first_name": "LAUREN",
        "middle_name": "STEPHANIE",
        "credential": "C.G.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CA",
            "license": "GC000762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.