Individual provider Active NPI

Lauren Michelle Gover, APRN, CNM

  • Obstetrics & Gynecology Nurse Practitioner
  • Alexandria, VA
National Provider Identifier
1124592779
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
0024186534 Issued in VA
Practice address
4660 Kenmore Ave Ste 902
Alexandria, VA 22304-1306
Phone
(703) 370-4300
Fax
(703) 832-0050
NPI assigned
Jan 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 11000991 FL
Advanced Practice Midwife 367A00000X APRN11000991 FL
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 0024186534 VA Primary

Addresses

Primary practice location

4660 Kenmore Ave Ste 902
Alexandria, VA 22304-1306

Mailing address

13141 Lexington Summit St
Orlando, FL 32828-4310
Phone (407) 864-2921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230621000338 DC Practitioner - Certified Nurse Midwife (CNM) 7810239951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Physicians Edge LLCGroup PAC ID 5890913503, 73 clinicians
The Physician and Midwife Collaborative PracticeGroup PAC ID 0648166405, 21 clinicians

Practice addresses (Care Compare)

4660 Kenmore Ave
Suite 902
Alexandria, VA 22304-1306
Phone (703) 370-4300

5901 Kingstowne Village Pkwy
Suite 200
Alexandria, VA 22315-5882
Phone (703) 922-3434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
11000991FLMDObstetrics & Gynecology Physician
0024186534VAMDObstetrics & Gynecology Nurse Practitioner
APRN11000991FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
The Physician and Midwife Collaborative Practice Obstetrics & Gynecology Current Accepting new patients
The Physician and Midwife Collaborative Practice Obstetrics & Gynecology CurrentSince May 8, 2023 Accepting new patients

Locations

2616 Sherwood Hall Ln
Ste 208
Alexandria, VA 22306
Phone (703) 780-6900

5901 Kingstowne Village Pkwy
Ste 200
Alexandria, VA 22315
Phone (703) 370-4300

4660 Kenmore Ave
Ste 902
Alexandria, VA 22304
Phone (703) 370-4300

3803 Fairfax Dr
Ste 500
Arlington, VA 22203
Phone (703) 842-0602

12508 Lake Ridge Dr
Woodbridge, VA 22192
Phone (703) 370-4300

Interoperability endpoints

  • Direct secure messaging: lauren.gover.1@7917.direct.athenahealth.com
  • Direct secure messaging: lgover67998@adventhealth.direct-ci.com

Organizations & group practices 3

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": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1124592779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13141 LEXINGTON SUMMIT ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284310",
            "telephone_number": "407-864-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 KENMORE AVE STE 902",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223041306",
            "telephone_number": "703-370-4300",
            "fax_number": "703-832-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOVER",
        "first_name": "LAUREN",
        "middle_name": "MICHELLE",
        "credential": "APRN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "11000991",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN11000991",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "VA",
            "license": "0024186534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.