Individual provider Active NPI

Lauren Rose Angello, DC

  • Chiropractor
  • Essex Junction, VT
National Provider Identifier
1265124812
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
006.0134186 Issued in VT
Practice address
1 Market PL Unit 27
Essex Junction, VT 05452-2942
Phone
(802) 658-6092
NPI assigned
May 23, 2023
Last updated
May 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 006.0134186 VT Primary

Addresses

Primary practice location

1 Market PL Unit 27
Essex Junction, VT 05452-2942

Mailing address

1 Market PL Unit 27
Essex Junction, VT 05452-2942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230703001007 VT Practitioner - Chiropractic 2769841147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tiffany Renaud, Inc.Group PAC ID 8022279074, 7 clinicians

Practice addresses (Care Compare)

1 Market PL
Unit 27
Essex JCT, VT 05452-2942
Phone (802) 658-6092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006.0134186VTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tiffany Renaud, Inc. Chiropractor CurrentSince May 31, 2023 Accepting new patients
Tiffany Renaud, Inc. CurrentSince May 31, 2023 Accepting new patients

Locations

1 Towne Market Pl
Unit 27
Essex Junction, VT 05452
Phone (802) 658-6092

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": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1265124812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MARKET PL UNIT 27",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054522942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MARKET PL UNIT 27",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054522942",
            "telephone_number": "802-658-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELLO",
        "first_name": "LAUREN",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006.0134186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex Junction, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.