Individual provider Active NPI

Lauren Elise Carei, PA

  • Physician Assistant
  • Grand Junction, CO
National Provider Identifier
1104233097
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0003987 Issued in CO
Practice address
360 W Park Dr Ste 201
Grand Junction, CO 81505-1619
Phone
(970) 609-7337
Fax
(970) 233-9829
NPI assigned
Jul 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0003987 CO Primary

Addresses

Primary practice location

360 W Park Dr Ste 201
Grand Junction, CO 81505-1619

Mailing address

360 W Park Dr Ste 201
Grand Junction, CO 81505-1619
Phone (970) 609-7337

Other names 1

  • Lauren Elise Nieman Former name

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0003987COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Altitude Pediatrics CurrentSince Jun 5, 2022 Accepting new patients
Altitude Pediatrics CurrentSince Jun 5, 2022 Accepting new patients

Locations

360 W Park Dr
Ste 201
Grand Junction, CO 81505
Phone (970) 609-7337

Interoperability endpoints

  • Direct secure messaging: lcarei@altp.pcc-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1405209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1104233097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W PARK DR STE 201",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051619",
            "telephone_number": "970-609-7337",
            "fax_number": "970-233-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W PARK DR STE 201",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051619",
            "telephone_number": "970-609-7337",
            "fax_number": "970-233-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAREI",
        "first_name": "LAUREN",
        "middle_name": "ELISE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-13",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0003987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "NIEMAN",
            "middle_name": "ELISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.