Active NPI
Lauren Barket Jordan, CNM
- Advanced Practice Midwife
- Fredericksburg, VA
National Provider Identifier
1104188085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 0024170128
- Practice address
- 1101 Sam Perry Blvd Ste 401
Fredericksburg, VA 22401-4466 - Phone
- (540) 940-2000
- NPI assigned
- Jun 15, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 0024170128 | VA | Primary |
Addresses
Primary practice location
1101 Sam Perry Blvd Ste 401
Fredericksburg, VA 22401-4466
Mailing address
1101 Sam Perry Blvd Ste 401
Fredericksburg, VA 22401-4466
Phone (540) 940-2000
Other practice location 1
9755 Courthouse Rd Ste 104
Spotsylvania, VA 22553-1984
Phone (540) 940-2000
Other practice location 2
4000 Coliseum Dr Ste 280
Hampton, VA 23666-5974
Phone (757) 827-2455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104188085 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Edge | Past | Accepting new patients | |
| Elite Gynecology and Wellness LLC | Past | Accepting new patients | |
| Nova Access Surgery PLLC | Past | Accepting new patients | |
| Mary Washington Healthcare Physicians | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/23133/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
-
- Obstetrics & Gynecology Physician
- Fredericksburg, VA
- NPI 1114793171
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1295999852
-
- Surgery Physician
- Culpeper, VA
- NPI 1952906513
-
- Point of Service
- Fredericksburg, VA
- NPI 1821608035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700524800000",
"number": "1104188085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 SAM PERRY BLVD STE 401",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224014466",
"telephone_number": "540-940-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 SAM PERRY BLVD STE 401",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224014466",
"telephone_number": "540-940-2000"
}
],
"practiceLocations": [
{
"address_1": "9755 Courthouse Rd Ste 104",
"address_purpose": "LOCATION",
"city": "Spotsylvania",
"state": "VA",
"postal_code": "225531984",
"country_code": "US",
"telephone_number": "540-940-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4000 Coliseum Dr Ste 280",
"address_purpose": "LOCATION",
"city": "Hampton",
"state": "VA",
"postal_code": "236665974",
"country_code": "US",
"telephone_number": "757-827-2455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JORDAN",
"first_name": "LAUREN",
"middle_name": "BARKET",
"name_prefix": "Mrs.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-15",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "VA",
"license": "0024170128",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104188085",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.