Active NPI
Lauren Dejohn
- Family Nurse Practitioner
- Washington, PA
National Provider Identifier
1164851325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP025128
- Practice address
- 95 W Beau St
Washington, PA 15301-6800 - Phone
- (724) 809-9398
- NPI assigned
- Nov 7, 2013
- Last updated
- Feb 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP025128 | PA | Primary |
Addresses
Primary practice location
95 W Beau St
Washington, PA 15301-6800
Mailing address
95 W Beau St Ste 200
Washington, PA 15301-6800
Phone (724) 250-7790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230204000544 | PA | Order and Referring Only - Nurse Practitioner | 8123490976 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP025128 | PA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1164851325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 W BEAU ST STE 200",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153016800",
"telephone_number": "724-250-7790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 W BEAU ST",
"city": "WASHINGTON",
"state": "PA",
"postal_code": "153016800",
"telephone_number": "724-809-9398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEJOHN",
"first_name": "LAUREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-07",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP025128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, PA
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- Jennifer Demott-Camp, OD
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- Dental Health First LLC
- Dental Professionals of Pennsylvania, PC (Washington Family Dental Care)
- Linda Detrich, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.