Active NPI
Lauren Elizabeth Deangelis, CRNA
- Certified Registered Nurse Anesthetist
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024166113
- 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, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 045755 | Other | RECERTNURSEANESTHETISTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, DE
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 544368 | CA | MD | Registered Nurse |
| 0001189808 | VA | MD | Registered Nurse |
| RN00145571 | WA | MD | Registered Nurse |
| 2429 | CA | MD | Certified Registered Nurse Anesthetist |
| 0024166113 | VA | MD | Certified Registered Nurse Anesthetist |
| AP30006223 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Virginia, LLC | Current | Accepting new patients | |
| Ambulatory Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Anesthesiology Physician
- Alexandria, VA
- NPI 1720192230
DC, Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Westminster, MD
- NPI 1104986678
-
- Anesthesiology Physician
- Frederick, MD
- NPI 1639283757
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.