Active NPI
Lauren Marie Kilian
- Student in an Organized Health Care Education/Training Program
- Angola, NY
National Provider Identifier
1225654544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 42 Sunset Blvd
Angola, NY 14006-1012 - Phone
- (716) 549-2300
- NPI assigned
- Jun 23, 2020
- Last updated
- Jun 23, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
42 Sunset Blvd
Angola, NY 14006-1012
Mailing address
7085 Derby Rd
Derby, NY 14047-9708
Phone (716) 861-7004
Other practice location 1
75 Chestnut St
Fredonia, NY 14063-1649
Phone (716) 679-0002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592870400000",
"number": "1225654544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7085 DERBY RD",
"city": "DERBY",
"state": "NY",
"postal_code": "140479708",
"telephone_number": "716-861-7004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 SUNSET BLVD",
"city": "ANGOLA",
"state": "NY",
"postal_code": "140061012",
"telephone_number": "716-549-2300"
}
],
"practiceLocations": [
{
"address_1": "75 Chestnut St",
"address_purpose": "LOCATION",
"city": "Fredonia",
"state": "NY",
"postal_code": "140631649",
"country_code": "US",
"telephone_number": "716-679-0002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KILIAN",
"first_name": "LAUREN",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-23",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Angola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.