Individual provider Active NPI

Lauren Leeanne Walker, CPNP-PC

  • Pediatric Nurse Practitioner
  • Easton, MD
National Provider Identifier
1194283325
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R226135 Issued in MD
Practice address
522 Cynwood Dr Ste 100
Easton, MD 21601-3877
Phone
(410) 770-8910
Fax
(833) 908-2284
NPI assigned
Mar 6, 2019
Last updated
Sep 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X POLE-L5EP1K NC
Pediatric Nurse Practitioner 363LP0200X R226135 MD Primary

Addresses

Primary practice location

522 Cynwood Dr Ste 100
Easton, MD 21601-3877

Mailing address

522 Cynwood Dr Ste 100
Easton, MD 21601-3877
Phone (410) 770-8910

Other practice location 1

1046 E Wendover Ave
Greensboro, NC 27405-6712
Phone (336) 272-1050

Other practice location 2

3090 Bluebird Ln Apt 301
Mebane, NC 27302-9938
Phone (240) 593-6122

Other names 1

  • Lauren Leeamme Poleto Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211005001140 MD Practitioner - Nurse Practitioner 2264830322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

316 Railroad Ave
Goldsboro, MD 21636-1126
Phone (410) 634-2380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
POLE-L5EP1KNCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Choptank Community Health System Inc CurrentSince Oct 11, 2021 Accepting new patients
Choptank Community Health System Inc CurrentSince Oct 11, 2021 Accepting new patients

Locations

503 Muir St
Ste A
Cambridge, MD 21613
Phone (410) 228-4045

301 Randolph St
Denton, MD 21629
Phone (410) 479-8346

522 Cynwood Dr
Ste 100
Easton, MD 21601
Phone (410) 770-8910

Interoperability endpoints

  • Direct secure messaging: lauren.walker.1@20853.direct.athenahealth.com
  • Direct secure messaging: lpoleto@tapmedicine.gwaydirect.com

Organizations & group practices 2

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": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1194283325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 CYNWOOD DR STE 100",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013877",
            "telephone_number": "410-770-8910",
            "fax_number": "833-908-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 CYNWOOD DR STE 100",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013877",
            "telephone_number": "410-770-8910",
            "fax_number": "833-908-2284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1046 E Wendover Ave",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274056712",
            "country_code": "US",
            "telephone_number": "336-272-1050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3090 Bluebird Ln Apt 301",
            "address_purpose": "LOCATION",
            "city": "Mebane",
            "state": "NC",
            "postal_code": "273029938",
            "country_code": "US",
            "telephone_number": "240-593-6122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "LAUREN",
        "middle_name": "LEEANNE",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "POLE-L5EP1K",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R226135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "POLETO",
            "middle_name": "LEEAMME",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.