Individual provider Active NPI

Lauren Marie Kilian

  • Student in an Organized Health Care Education/Training Program
  • Angola, NY
National Provider Identifier
1225654544
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
42 Sunset Blvd
Angola, NY 14006-1012
Phone
(716) 549-2300
NPI assigned
Jun 23, 2020
Last updated
Jun 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.