Active NPI
Lauren K Lauterwasser
- Case Manager/Care Coordinator
- Aurora, CO
National Provider Identifier
1306512918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1544 Elmira St
Aurora, CO 80010-2116 - Phone
- (303) 617-2300
- NPI assigned
- Aug 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 777AK3383 | IA | |
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1544 Elmira St
Aurora, CO 80010-2116
Mailing address
1290 Chambers Rd
Aurora, CO 80011-7117
Other practice location 1
7755 Office Plaza Dr N Ste 105
West Des Moines, IA 50266-2339
Phone (515) 505-7253
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T0AAN6738884 | Other | IA | BLUE CROSS BLUE SHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 777AK3383 | IA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1306512918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1290 CHAMBERS RD",
"city": "AURORA",
"state": "CO",
"postal_code": "800117117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1544 ELMIRA ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800102116",
"telephone_number": "303-617-2300"
}
],
"practiceLocations": [
{
"address_1": "7755 Office Plaza Dr N Ste 105",
"address_purpose": "LOCATION",
"city": "West Des Moines",
"state": "IA",
"postal_code": "502662339",
"country_code": "US",
"telephone_number": "515-505-7253",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAUTERWASSER",
"first_name": "LAUREN",
"middle_name": "K",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-23",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "IA",
"license": "777AK3383",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "T0AAN6738884",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.