Individual provider Active NPI

Lauren Elizabeth Mandych, ND

  • Naturopath
  • Montpelier, VT
National Provider Identifier
1104423813
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
099.0134129 Issued in VT
Practice address
250 Main St Ste 301
Montpelier, VT 05602-4257
Phone
(802) 522-4597
NPI assigned
Oct 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 099.0134129 VT Primary

Addresses

Primary practice location

250 Main St Ste 301
Montpelier, VT 05602-4257

Mailing address

250 Main St Ste 301
Montpelier, VT 05602-4257
Phone (772) 485-1450

Other names 1

  • Lauren Elizabeth McKinney 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
099.0134129VTMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Well-Natured PLLC Naturopath CurrentSince Oct 19, 2020 Accepting new patients

Locations

250 Main St
Ste 301
Montpelier, VT 05602
Phone (802) 522-4597

Interoperability endpoints

  • Direct secure messaging: lauren.mandych.1@22542.direct.athenahealth.com

Organizations & group practices 1

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": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1104423813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MAIN ST STE 301",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056024257",
            "telephone_number": "772-485-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MAIN ST STE 301",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056024257",
            "telephone_number": "802-522-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDYCH",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "VT",
            "license": "099.0134129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "MCKINNEY",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Montpelier, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.