Individual provider Active NPI

Lauren Elizabeth Deangelis, CRNA

  • Certified Registered Nurse Anesthetist
  • Alexandria, VA
National Provider Identifier
1184654204
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024166113 Issued in VA
Practice address
6355 Walker LN
Suite 200
Alexandria, VA 22310-3245
Phone
(703) 922-9501
Fax
(301) 829-7694
NPI assigned
Jul 4, 2006
Last updated
Jun 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024166113 VA Primary
Certified Registered Nurse Anesthetist 367500000X AP30006223 WA
Certified Registered Nurse Anesthetist 367500000X 2429 CA
Certified Registered Nurse Anesthetist 367500000X L6-0A00202 DE
Registered Nurse 163W00000X 0001189808 VA
Registered Nurse 163W00000X RN00145571 WA
Registered Nurse 163W00000X 544368 CA

Addresses

Primary practice location

6355 Walker LN
Suite 200
Alexandria, VA 22310-3245

Mailing address

602 Center St
Suite 107
Mount Airy, MD 21771-7420
Phone (301) 829-7683

Other identifiers 1

IdentifierTypeStateIssuer
045755OtherRECERTNURSEANESTHETISTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060710000100 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133132327 Reassigns benefits to 2 organizations
I20160914001517 DE Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133132327

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
544368CAMDRegistered Nurse
0001189808VAMDRegistered Nurse
RN00145571WAMDRegistered Nurse
2429CAMDCertified Registered Nurse Anesthetist
0024166113VAMDCertified Registered Nurse Anesthetist
AP30006223WAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Virginia, LLC CurrentSince May 1, 2022 Accepting new patients
Ambulatory Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 23, 2016 Accepting new patients
Carroll County Med Services, Inc. Past Accepting new patients
Frederick Anesthesia, LLC Past Accepting new patients

Locations

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

6355 Walker Ln
Ste 200
Alexandria, VA 22310
Phone (703) 922-9501

3620 Joseph Siewick Dr
Ste 202
Fairfax, VA 22033
Phone (703) 766-6960

9321 Sanger St
#200
Lorton, VA 22079
Phone (703) 300-8428

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1184654204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 CENTER ST",
            "address_2": "SUITE 107",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217717420",
            "telephone_number": "301-829-7683",
            "fax_number": "301-829-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 WALKER LN",
            "address_2": "SUITE 200",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103245",
            "telephone_number": "703-922-9501",
            "fax_number": "301-829-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANGELIS",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024166113",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP30006223",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "2429",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DE",
            "license": "L6-0A00202",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001189808",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00145571",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "544368",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RECERTNURSEANESTHETISTS",
            "identifier": "045755",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.